Gina F. Lidestri, PA
Physician Assistant · Bristol, CT
UnclaimedPANPI 1043403868
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2007-08-24
- Practice location
- Bristol, CT
- Last NPPES update
- 2012-01-21
State licenses
- CT · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.