Lily Soudarath Sitisa

NPI #1336942697 in Chardon, Ohio

Provider Information

NPI Number: 1336942697
Entity Type: Individual
Name: Lily Soudarath Sitisa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 31, 2025
Last Updated: Mar 31, 2025

Practice Location

Address: 13207 RAVENNA RD
City: Chardon
State: Ohio
ZIP Code: 44024-7032
Phone: (585) 747-7846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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