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JENNIFER LIDSTROM MS DC PC
NPI 1033125240
Clinic/Center - Multi-Specialty in Cornelius, NC

Active since July 31, 2006
11220 TREYNORTH DR STE A, CORNELIUS, NC 28031(704) 896-8446(704) 896-8495 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2026, May 17, 2022, May 15, 2020 (3 updates tracked since 2020).

About Jennifer Lidstrom Ms Dc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LIDSTROM MS DC PC (NPI 1033125240), doing business as Lakeside Sports Chiropractic Center, is a healthcare organization registered as a multi-specialty in Cornelius, North Carolina and active in the NPI registry since July 2006. The organization lists Jennifer Marie Lidstrom, Owner, as its authorized official.

NPPES Registry Identity

NPI1033125240
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameJENNIFER LIDSTROM MS DC PC
Location Address11220 TREYNORTH DR STE ACornelius, NC 28031-8198
Mailing Address11220 Treynorth Dr Ste ACornelius, NC 28031-8198 · (704) 896-8446 · Fax (704) 896-8495
Phone(704) 896-8446
Fax(704) 896-8495
Organization SubpartNo
Authorized OfficialJennifer Marie LidstromOwner · (704) 896-8446
Enumeration DateJuly 31, 2006
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1033125240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedChiropractorTaxonomy 111N00000X · License 3249 (NC)
11220 TREYNORTH DR STE A, Cornelius, NC 28031
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Other Names 1

Doing Business AsLakeside Sports Chiropractic Center

Other Identifiers 1

Medicaid89085RMNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKESIDE INTEGRATIVE HEALTHCARE PC
Physical Medicine & Rehabilitation
11220 TREYNORTH DR STE A
CORNELIUS, NC 28031
Mecklenburg County (704) 896-8446
SUMMER MENDEZ MSW, LCSW
Social Worker (Clinical)
11220 TREYNORTH DR STE A
CORNELIUS, NC 28031
Mecklenburg County (980) 272-0157
WILD BLOOM WELLNESS
Social Worker (Clinical)
11220 TREYNORTH DR STE A
CORNELIUS, NC 28031
Mecklenburg County (980) 272-0157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Lidstrom Ms Dc PC's NPI number?

The NPI number for Jennifer Lidstrom Ms Dc PC is 1033125240. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as Lakeside Sports Chiropractic Center.

Where is Jennifer Lidstrom Ms Dc PC located?

Jennifer Lidstrom Ms Dc PC is located at 11220 Treynorth Dr Ste A, Cornelius, NC 28031. The listed phone number is (704) 896-8446.

What is Jennifer Lidstrom Ms Dc PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Jennifer Lidstrom Ms Dc PC accept?

Health plans from Blue Cross and Blue Shield of NC list Jennifer Lidstrom Ms Dc PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Lidstrom Ms Dc PC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.