Female

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

Provider Address