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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730755380

Lissette Diaz-Serrano is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2053 W Birchwood Ave Apt 3
Chicago, IL 60645-2173
Phone: (773) 706-6197
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Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 22344 (PR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730755380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2021
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address2053 W Birchwood Ave Apt 3, Chicago, IL 60645-2173

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