Lisa M. Tidman in Essex - Sports Medicine

Lisa M. Tidman - NPI 1467413930

Lisa M. Tidman is a Sports Medicine in Essex, Vermont. Lisa M. Tidman practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Lisa M. Tidman is 1467413930. The last update date is 2007-07-08.

Lisa M. Tidman's current location address is 14 Forest Rd, Essex, Vermont. You can contact this provider via phone number 8028787536. The mailing address for Lisa M. Tidman is 14 Forest Rd, Essex, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa M. Tidman
Address 14 Forest Rd, Essex, Vermont
Phone Number 8028787536
Fax Number
Sole Proprietor X
Credentials PTA

NPI Number Detail

NPI Number 1467413930
Provider Enumeration Date 2006-03-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 14 Forest Rd
City Essex
State Vermont (VT)
Post Code 54523818
Phone Number 8028787536
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 2081S0010X
Licence No 041-0000385
Definition:
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of

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FAQs about Lisa M. Tidman

What is the Lisa M. Tidman's unique identification number?

The Lisa M. Tidman has been assigned the NPI (National Provider Identifier) Number 1467413930 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Lisa M. Tidman's facilities are geographically located?

The facilities of Lisa M. Tidman are physically situated at the following location: 14 Forest Rd, Essex, VT, 54523818.

What is Lisa M. Tidman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lisa M. Tidman's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2081S0010X.

On what date was the 1467413930 assigned to Lisa M. Tidman?

The Lisa M. Tidman was issued its 1467413930 on 2006-03-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Lisa M. Tidman most recently updated?

The details pertaining to the Lisa M. Tidman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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