Carol Lidstrom, PA-C

Individual Active
NPI 1700192424
Medical Physician Assistant Detroit, MI

Carol Lidstrom, PA-C holds NPI 1700192424, with a primary taxonomy of medical physician assistant and a practice location in Detroit, MI. The number was issued on August 19, 2010 and the NPPES record was last updated on August 19, 2010.

This record hasn't been updated in NPPES since 2010. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 5601002244 (MI)

Practice location

1 Ford Pl
Suite 2E
Detroit, MI 48202-3450
Phone: (313) 937-3049

Local context

Active NPPES records list 436 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 137 of them within 10 miles.

The same primary taxonomy is listed by 1,190 in Michigan and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Ms. Carol Lynn Lidstrom
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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