Individual provider · Type 1 NPI
Dawn Lisa Lidstone, FNP
Family Nurse Practitioner · Canaan, CT
NPI number
1922403542
Active
Practice location
76 Church St
Canaan, CT 06018-2447
Mailing address
PO Box 438
Southfield, MA 01259-0438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 087663 (CT) |
| General Practice Registered Nurse | 163WG0000X | 284722 (MA) |
| General Practice Registered Nurse | 163WG0000X | 679700-1 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 007744 (CT) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1922403542
Dawn Lisa Lidstone, FNP's National Provider Identifier is 1922403542, issued on Oct 24, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canaan, CT. The record was last updated on Jun 24, 2020.