Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
1768 MITCHELL RD
CERES, CA 95307-2156 US

Lisa Phetchamphone

Licensed Vocational Nurse


Lisa Phetchamphone

Overview

Lisa Phetchamphone is a Licensed Vocational Nurse in the CERES area. Lisa Phetchamphone primary office location is at 1768 MITCHELL RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164167136 and the information was updated approximately 1 year ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
1768 MITCHELL RD
CERES, CA 95307-2156 US
Phone: (209)-353-4838
Fax:
Practice Mailing Information
1768 MITCHELL RD
CERES, CA 95307-2156 US
Phone: (209)-353-4838
Fax:
License NumberState
713585CA

No Identifiers found