Elizabeth M Lidstone Jayana in Fitchburg - Pediatrics
Elizabeth M Lidstone Jayana - NPI 1124000294
Elizabeth M Lidstone Jayana is a Pediatrics in Fitchburg, Massachusetts. Elizabeth M Lidstone Jayana practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Elizabeth M Lidstone Jayana is 1124000294. The last update date is 2015-11-16.
Elizabeth M Lidstone Jayana's current location address is 326 Nichols Road, Fitchburg, Massachusetts. You can contact this provider via phone number 9788788100 and fax number 9788788418. The mailing address for Elizabeth M Lidstone Jayana is 326 Nichols Road, Fitchburg, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth M Lidstone Jayana |
|---|---|
| Address | 326 Nichols Road, Fitchburg, Massachusetts |
| Phone Number | 9788788100 |
| Fax Number | 9788788418 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124000294 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2015-11-16 |
Provider Mailing Address Detail
| Address | 326 Nichols Road |
|---|---|
| City | Fitchburg |
| State | Massachusetts (MA) |
| Post Code | 14201914 |
| Phone Number | 9788788100 |
| Fax Number | 9788788418 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 156974 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J19766 | BLUE SHIELD HMO BLUE | ||
| J19766 | BLUE CARE ELECT | ||
| J19766 | BLUE SHIELD INDEMNITY | ||
| 1836498 | FIRST HEALTH | ||
| 7521481 | CIGNA HEALTH PLAN | ||
| 3188787 | MEDICAID/WELFARE | ||
| 3188787 | MA | -- | |
| 33367 | CHILDRENS MED SECURITY PL | ||
| 33367 | HEALTHY START | ||
| 42389 | FALLON COMMUNITY HLTH PL |
Post Comment/ Review Below
What is the Elizabeth M Lidstone Jayana's 1124000294?
The Elizabeth M Lidstone Jayana's NPI (National Provider Identifier) Number is 1124000294. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Elizabeth M Lidstone Jayana is physically located?
The Elizabeth M Lidstone Jayana is physically situated at the following address: 326 Nichols Road, Fitchburg, MA, 14201914.
What is Elizabeth M Lidstone Jayana's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Elizabeth M Lidstone Jayana is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124000294 to Elizabeth M Lidstone Jayana?
The Elizabeth M Lidstone Jayana received its 1124000294 assignment from the Centers for Medicare & Medicaid Services on 2005-11-15.
As of what date were the details pertaining to Elizabeth M Lidstone Jayana last refreshed?
The information related to the Elizabeth M Lidstone Jayana, including its address, specialty, and other relevant details, was last updated on 2015-11-16.
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