Individual
JENNIFER LIDBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N2150 KESAEHKAHTEK, GRESHAM, WI 54128
(715) 799-3835
(715) 799-5056
Mailing address
N2150 KESAEHKAHTEK, GRESHAM, WI 54128
(715) 799-3835
(715) 799-5056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169207-30
WI
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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