Individual provider · Type 1 NPI

Megan Marie Lidtke

Physician Assistant · Coon Rapids, MN

NPI number 1245194455 Active

Practice location

4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568

Call (763) 427-9980 Map

Mailing address

15914 Linnet St NW
Andover, MN 55304-2563

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245194455

Megan Marie Lidtke's National Provider Identifier is 1245194455, issued on Dec 11, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Dec 11, 2025.