Individual
HEIDI LIDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1563 MISSION ST, SAN FRANCISCO, CA 94103-2543
(415) 762-3700
(415) 865-0119
Mailing address
1563 MISSION ST, SAN FRANCISCO, CA 94103-2543
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
912509
CA
163W00000X
Registered Nurse
Primary
95200573
CA
Other
Enumeration date
11/02/2017
Last updated
03/12/2026
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