Individual
LIZABETH DILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-2137
(814) 877-7049
Mailing address
4211 OLD STATE RD, EDINBORO, PA 16412-1152
(571) 777-5102
(703) 563-6256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN269683L
PA
367500000X
Certified Registered Nurse Anesthetist
RN178813
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN269683L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007365756
—
PA
05
—
3017416
—
OH
Enumeration date
06/09/2006
Last updated
04/17/2019
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