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
License Number | State |
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713585 | CA |
Taxonomy | State | Primary? |
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Licensed Vocational Nurse - Taxonomy Code 164X00000X | CA | Y |