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

DR. JENNIFER MARIE LIDSTROM, M.S.,D.C.,P.C.

Active Sole Proprietor

DR. JENNIFER MARIE LIDSTROM, M.S.,D.C.,P.C. is a Chiropractor healthcare provider located in CORNELIUS, North Carolina. NPI 1073618708 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · CORNELIUS, NC

Registration Details

NPI Number
1073618708
Provider Type
Individual
Gender
Female
NPI Issued
Sep 14, 2006 (19.903991516362 yrs)
Last Updated
May 15, 2020
License
3249 (NC)
Sole Proprietor
Yes

Practice Information

Address
19924 JETTON RD
SUITE 101
CORNELIUS, NC, 280318250
Browse NC providers · Browse ZIP 28031
Phone
7048768446
Fax
7048968495
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in CORNELIUS, NC

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.