Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Lidstrom MS DC PC

Organization Chiropractor · NPI 1033125240

Jennifer Lidstrom MS DC PC is a Chiropractor in Cornelius, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11220 Treynorth Dr Ste A
Cornelius, NC 28031-8198
Phone: (704) 896-8446
Fax: (704) 896-8495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Chiropractor Taxonomy 111N00000X · Licence 3249 (NC)

Record details

NPI number1033125240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Lidstrom — Owner · (704) 896-8446
Other names Lakeside Sports Chiropractic Center; Lakeside Sports Chiropractic Center
NPI enumeratedJuly 31, 2006
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address11220 Treynorth Dr Ste A, Cornelius, NC 28031-8198

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