Individual provider · Type 1 NPI

Lisa Gail Sidebotham, LPN

Licensed Practical Nurse · Fayetteville, NC

NPI number 1275437543 Active

Practice location

2615 Elmhurst Dr
Fayetteville, NC 28304-5336

Call (917) 900-2296 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X93836 (NC)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1275437543

Lisa Gail Sidebotham, LPN's National Provider Identifier is 1275437543, issued on Oct 7, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fayetteville, NC. The record was last updated on Oct 7, 2026.