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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER LIDSTROM MS DC PC

Active Organization

JENNIFER LIDSTROM MS DC PC is a Multi-Specialty Clinic organization located in CORNELIUS, North Carolina. NPI 1033125240 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · CORNELIUS, NC

Registration Details

NPI Number
1033125240
Provider Type
Organization
NPI Issued
Jul 31, 2006 (20.059846218761 yrs)
Last Updated
Jan 27, 2026
License
3249 (NC)

Practice Information

Address
11220 TREYNORTH DR STE A
CORNELIUS, NC, 280318198
Browse NC providers · Browse ZIP 28031
Phone
7048968446
Fax
7048968495
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Additional Specialty
Multi-Specialty Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.