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Lisa Phetchamphone
Licensed Vocational Nurse in Ceres, California
NPI 1164167136

Lisa Phetchamphone is a Licensed Vocational Nurse based in Ceres, CA. Lisa Phetchamphone practices in Ceres, CA. The NPI Number for Lisa Phetchamphone is 1164167136 and holds a License No. 713585 (California).

The current practice location address for Lisa Phetchamphone is 1768 Mitchell Rd, Ceres, CA and can be reached out via phone at 209-353-4838.

Location: 1768 Mitchell Rd, Ceres, CA, 95307-2156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164167136
Provider Name
Lisa Phetchamphone
Credential
Provider Entity Type
Individual
Gender
Female
Address
1768 Mitchell Rd, Ceres, CA, 95307-2156
Phone Number
209-353-4838
Fax Number
Provider Enumeration Date
05/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1768 Mitchell Rd
City
Ceres
State
California
Zip
95307-2156
Phone Number
209-353-4838
Fax Number
person
Provider Business Mailing Address Details
Address
1768 Mitchell Rd
City
Ceres
State
California
Zip
95307-2156
Phone Number
209-353-4838
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
713585 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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