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Search › Washington › 363A00000X

Shelby Lidstrom

NPI 1154722155 · on the registry since 2014

Practice

Address
19200 N Kelsey St
Monroe, WA 98272
Phone
(360) 794-7994
Organisation at this address
Credena Health Llc
Laboratory Corporation Of America
Providence Health & Services-Washington
Providence Health & Services - Washington
Providence Health & Services - Washington
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Additional practice sites

  • 1919 Lincoln Way Ste 315, Coeur D Alene, ID

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
ID, WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington