Mrs. Lisa M. Tidman
Sports Medicine
30 Hawthorne St
Williston
, Vermont 05495-8212
Mrs. Lisa M. Tidman
Sports Medicine
30 Hawthorne St
Williston
, Vermont 05495-8212
(802) 878-7536
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Mrs. Lisa M. Tidman
- 14 Forest Rd
- Essex, VT
- Zip : 05452-3818
- Phone : (802) 878-7536
Second Address
- Mrs. Lisa M. Tidman
- 30 Hawthorne St
- Williston, VT
- Zip : 05495-8212
- Phone : (802) 876-6100
Reviews
FAQs
Where did Mrs. Lisa M. Tidman attend graduate school?
Where did Mrs. Lisa M. Tidman do her residency?
Where did Mrs. Lisa M. Tidman do her fellowship?
Is Mrs. Lisa M. Tidman board certified?
What type of doctor is Mrs. Lisa M. Tidman
In what state does Mrs. Lisa M. Tidman practice in?
Where is Mrs. Lisa M. Tidman ’s practice located?
What is Mrs. Lisa M. Tidman ’s gender?
Is Mrs. Lisa M. Tidman a sole practitioner?
Is Mrs. Lisa M. Tidman accepting new patients?
What languages does Mrs. Lisa M. Tidman speak?
Does Mrs. Lisa M. Tidman accept insurance?
Does Mrs. Lisa M. Tidman offers telemedicine?
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Does Mrs. Lisa M. Tidman have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 041-0000385 | VT |
| Y | 213ES0000X | Sports Medicine | 041-0000385 | VT |
National Provider Identifier
| NPI | 1467413930 |
|---|---|
| Provider Name | Mrs. Lisa M. Tidman |
| First Address | Essex, VT 05452-3818 |
| Second Address | Williston, VT 05495-8212 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.