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SHELBY LIDSTROM

Physician Assistant

NPI: 1154722155IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Code: 363A00000X

PA-2541(ID)PA60463924(WA)

CMS Specialties

Education

OTHER

Class of 2007

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Contact & Hours

Address
1919 LINCOLN WAY STE 315
COEUR D ALENE, ID 83814

Quick Facts

NPI
1154722155
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
19

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