Provider Demographics
NPI:1285315473
Name:STEINWEHR, LIDNA
Entity type:Individual
Prefix:
First Name:LIDNA
Middle Name:
Last Name:STEINWEHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4853 35TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-7135
Mailing Address - Country:US
Mailing Address - Phone:701-899-0360
Mailing Address - Fax:
Practice Address - Street 1:4853 35TH AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-7135
Practice Address - Country:US
Practice Address - Phone:701-899-0360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health