Lidestri, Gina F

Lidestri, Gina F is an individual health care provider with primary practice located at 41 Brewster Rd , Bristol CT 06010-5161. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Lidestri, Gina F can be contacted via phone (860) 585-3313.

Contact Information

Primary practice address
41 Brewster Rd Bristol CT 06010-5161
Phone: (860) 585-3313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001942 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001942 Connecticut

Profile Details

NPI number 1043403868
LBN Legal business name Lidestri, Gina F
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2007
Last updated Jan 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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