Individual provider · Type 1 NPI

Lily Hertel, DO

Student in an Organized Health Care Education/Training Program · Chardon, OH

NPI number 1508706771 Active

Practice location

13207 Ravenna Rd
Chardon, OH 44024-7032

Call (440) 285-6000 Map

Mailing address

3827 Brooks Rd
Gasport, NY 14067-9307

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 1508706771

Lily Hertel, DO's National Provider Identifier is 1508706771, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chardon, OH. The record was last updated on Mar 30, 2026.