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

Lily Soudarath Sitisa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336942697

Lily Soudarath Sitisa is a Student in an Organized Health Care Education/Training Program in Chardon, Ohio. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone: (585) 747-7846
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1336942697
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

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