Lidstone, Dawn Lisa

Lidstone, Dawn Lisa is an individual health care provider with primary practice located at 76 Church St , Canaan CT 06018-2447. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lidstone, Dawn Lisa can be contacted via phone (860) 624-0731.

Contact Information

Primary practice address
76 Church St Canaan CT 06018-2447
Phone: (860) 624-0731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 087663 Connecticut
Nursing Service Providers / General Practice 163WG0000X 284722 Massachusetts
Nursing Service Providers / General Practice 163WG0000X 679700-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 007744 Connecticut

Profile Details

NPI number 1922403542
LBN Legal business name Lidstone, Dawn Lisa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2014
Last updated Jun 24th, 2020 - about 5 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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