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Paven Kaur Aujla Lidstone

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3020 Childrens Way, San Diego, CA 92123-4223

PECOS Enrollment

This provider is enrolled in PECOS as PAVEN LIDSTONE.

Based on the most recent information from CMS, provider Paven Kaur Aujla Lidstone is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1942662093
Provider Type
Individual
Full Name
Lidstone, Paven Kaur Aujla
Title
Dr.
Credential
M.D., PH.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/27/2016
Last Updated
12/31/2022

Contact Information

Practice Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 576-1700

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5003, San Diego, CA 92123-4223

(858) 309-6300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A161149 California

Paven Kaur Aujla Lidstone

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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