Individual
AMANDA LIDSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
717 SUMMIT RUN, LEWISVILLE, TX 75077-2931
(940) 453-7239
Mailing address
717 SUMMIT RUN, LEWISVILLE, TX 75077-2931
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83875
TX
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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