Individual
SARICA LILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
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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