Individual
JORDAN LIDSKY-EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
291 HUMPHREY ST UNIT 5, NEW HAVEN, CT 06511-3998
(720) 427-1573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1192541
CT
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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