Healthcare Provider Details

I. General information

NPI: 1962327494
Provider Name (Legal Business Name): LAUREN ELIZABETH LIDO CRNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HIDDEN VALLEY RD
MC MURRAY PA
15317-2685
US

IV. Provider business mailing address

2849 ARDSLEY AVE
PITTSBURGH PA
15226-2109
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-4070
  • Fax:
Mailing address:
  • Phone: 954-234-9008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP036824
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: