Individual provider · Type 1 NPI

Lizette Bonilla

Student in an Organized Health Care Education/Training Program · Ithaca, NY

NPI number 1376282376 Active

Practice location

127 W State St
Ithaca, NY 14850-5474

Call (607) 273-7494 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376282376

Lizette Bonilla's National Provider Identifier is 1376282376, issued on May 31, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ithaca, NY. The record was last updated on May 31, 2022.