National Provider Identifier
Lizette Bonilla
Lizette Bonilla is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1376282376
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 31, 2022
- Last Updated
- May 31, 2022
Practice Location
- 127 W State St
- Ithaca, NY 14850-5474
Phone: (607) 273-7494
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1376282376
- Entity Type
- Individual
- Last Name
- Bonilla
- First Name
- Lizette
- Mailing Street Address
- 127 W State St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5474
- Mailing Country
- US
- Mailing Phone
- (607) 273-7494
- Practice Street Address
- 127 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Enumeration Date
- May 31, 2022
- Last Updated
- May 31, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 31, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)