Individual provider · Type 1 NPI
Jennifer Marie Lidstrom, M.S., DC, P.C.
Chiropractor · Cornelius, NC
NPI number
1073618708
Active
Practice location
19924 Jetton Rd, Suite 101
Cornelius, NC 28031-8250
Fax (704) 896-8495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3249 (NC) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1073618708
Jennifer Marie Lidstrom, M.S., DC, P.C.'s National Provider Identifier is 1073618708, issued on Sep 14, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Cornelius, NC. The record was last updated on May 15, 2020.