| Ms Carol Lynn Lidstrom, PA-C | |
|
1 Ford Pl, Suite 2e, Detroit, MI 48202-3450 | |
| (313) 937-3049 | |
| Not Available |
| Full Name | Ms Carol Lynn Lidstrom |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1 Ford Pl, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700192424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601002244 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carol Lynn Lidstrom, PA-C 3139 S Wayne Rd, Wayne, MI 48184-1220 Ph: (734) 722-2722 | Ms Carol Lynn Lidstrom, PA-C 1 Ford Pl, Suite 2e, Detroit, MI 48202-3450 Ph: (313) 937-3049 |
Ms. Lilia Popadiuk, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-993-0200 | |
Mrs. Rachelle Noel Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Sybrena Evans, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-833-4490 | |
Mrs. Kimberly Louise Powell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-6870 | |
Tiffany Drane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Basma J Alobahi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6100 Dorothy St, Detroit, MI 48211 Phone: 313-921-5881 | |
Mrs. Emily M Ioco, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-0841 |