Paul D Lidstrom is a Psychiatry in Conway, New Hampshire. Paul D Lidstrom practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Paul D Lidstrom is 1558495390. The last update date is 2008-06-09.
Paul D Lidstrom's current location address is 87 Washington St, Conway, New Hampshire. You can contact this provider via phone number 6034473347. The mailing address for Paul D Lidstrom is 87 Washington St, Conway, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul D Lidstrom |
|---|---|
| Address | 87 Washington St, Conway, New Hampshire |
| Phone Number | 6034473347 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558495390 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | 87 Washington St |
|---|---|
| City | Conway |
| State | New Hampshire (NH) |
| Post Code | 38186044 |
| Phone Number | 6034473347 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 7653 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0108024Y0NH02 | NH | ANTHEM | |
| 0108024T0NH02 | NH | ANTHEM FEP |
Post Comment/ Review Below
What is the unique identification code assigned to Paul D Lidstrom by the Centers for Medicare & Medicaid Services?
The Paul D Lidstrom has been issued the NPI (National Provider Identifier) 1558495390. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Paul D Lidstrom's facilities are situated?
The facilities of Paul D Lidstrom are physically located at the following address: 87 Washington St, Conway, NH, 38186044.
What is Paul D Lidstrom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul D Lidstrom's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date was the 1558495390 assigned to Paul D Lidstrom?
The Paul D Lidstrom was issued its 1558495390 on 2007-03-15, 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 Paul D Lidstrom most recently updated?
The details pertaining to the Paul D Lidstrom, including its address, specialty, and other relevant information, were last refreshed on 2008-06-09.