Search › Wisconsin › 163W00000X
Jennifer Lidbury
NPI 1861853566 · on the registry since 2016
Practice
- Address
- N2150 Kesaehkahtek
Gresham, WI 54128 - Phone
- (715) 799-3835
- Fax
- (715) 799-5056
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-09
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 Wisconsin