Individual
LILLIAN PENNIMAN CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3456
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
633799-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
633799
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
633799-1
NY
367500000X
Certified Registered Nurse Anesthetist
RNA253052
ME
Other
Enumeration date
02/12/2021
Last updated
03/23/2026
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