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Lizette Bonilla
Student in an Organized Health Care Education/Training Program in Ithaca, New York
NPI 1376282376

Lizette Bonilla is a Student in an Organized Health Care Education/Training Program based in Ithaca, NY. Lizette Bonilla practices in Ithaca, NY. The NPI Number for Lizette Bonilla is 1376282376 and holds a License No. (New York).

The current practice location address for Lizette Bonilla is 127 W State St, Ithaca, NY and can be reached out via phone at 607-273-7494.

Location: 127 W State St, Ithaca, NY, 14850-5474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376282376
Provider Name
Lizette Bonilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
127 W State St, Ithaca, NY, 14850-5474
Phone Number
607-273-7494
Fax Number
Provider Enumeration Date
05/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
127 W State St
City
Ithaca
State
New York
Zip
14850-5474
Phone Number
607-273-7494
Fax Number
person
Provider Business Mailing Address Details
Address
127 W State St
City
Ithaca
State
New York
Zip
14850-5474
Phone Number
607-273-7494
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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