Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elida Lica

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558010058

Elida Lica is a Student in an Organized Health Care Education/Training Program in North Olmsted, Ohio. Licensed in Ohio. Registered with an NPI since 2022.

Licensed in
OH
In the registry since
2022
Specialties on file
2

Practice location Address checks out

4710 Great Northern Blvd
North Olmsted, OH 44070-3427
Phone: (216) 778-4486
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 30.027657 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558010058
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address21800 River Oaks Dr, Rocky River, OH 44116-3127

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