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Individual

SARICA LILLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
90 CIC BLVD, WEST UNION, OH 45693-8024
(937) 544-8989
(937) 544-5659
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8034
(740) 353-7900

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020962
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
311443010
SOUTHERN OHIO SURGICAL ASSOCIATES, INC.
OH
Enumeration date
06/20/2017
Last updated
12/21/2020
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