| Lisa Phetchamphone, | |
|
1768 Mitchell Rd, Ceres, CA 95307-2156 | |
| (209) 353-4838 | |
| Not Available |
| Full Name | Lisa Phetchamphone |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 1768 Mitchell Rd, Ceres, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164167136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 713585 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Phetchamphone, 1768 Mitchell Rd, Ceres, CA 95307-2156 Ph: (209) 353-4838 | Lisa Phetchamphone, 1768 Mitchell Rd, Ceres, CA 95307-2156 Ph: (209) 353-4838 |
Thorn Eang, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 829 Allacante Dr, Ceres, CA 95307 Phone: 209-681-6030 | |
Jovenpreet Gill, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 3811 Hyacinth Dr, Ceres, CA 95307 Phone: 209-495-8328 | |
Olga Alejandre, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 3801 Evalee Ln, Ceres, CA 95307 Phone: 209-417-8857 | |
Roberto Vargas-pantoja, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave Bldg A, Ceres, CA 95307 Phone: 209-300-8800 | |
Carlos Trujillo, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-300-8800 | |
Remy Boyal, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-300-8800 | |
Marketa Reber, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-300-8800 Fax: 209-300-8898 |