Dr. Donna M. Lidren PHD
Full Name
Dr. Donna May Lidren PHD
NPI Number
1073534079
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/22/2006
Specialties
(Taxonomies)Code
103TC0700X
103TH0100X
103T00000X
Primary Taxonomy
No
No
No
Licenses
State
Washington
License Number
PY00001859
Contact
Information
Purpose
Mailing
Location
Address
2013 SO 19TH ST
2013 SO 19TH ST
City
Tacoma
Tacoma
State
WA
WA
Postal Code
98405
98405
Country
US
US
Telephone Number
(253) 383-3355
(253) 383-3355
Identifiers
Identifier
0076471
LI0788
Identifier State
WA
WA
Identifier Issuer
DEPT OF L&I
REGENCE BS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007