MS. Carol Lynn Lidstrom, PA-C is a medical physician assistant in Detroit, MI. MS. Carol Lynn Lidstrom, PA-C NPI is 1700192424. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1 FORD PL
SUITE 2E
DETROIT, MI
ZIP 48202-450
Phone: (313) 937-3049
The enumeration date for this NPI number is 8/19/2010 and was last updated on 8/19/2010.