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

Lizette Bonilla

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376282376

Lizette Bonilla is a Student in an Organized Health Care Education/Training Program in Ithaca, New York. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

127 W State St
Ithaca, NY 14850-5474
Phone: (607) 273-7494
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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 number1376282376
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2022
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address127 W State St, Ithaca, NY 14850-5474

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