Individual provider · Type 1 NPI

Lisa Phetchamphone

Licensed Vocational Nurse · Ceres, CA

NPI number 1164167136 Active

Practice location

1768 Mitchell Rd
Ceres, CA 95307-2156

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X713585 (CA)

Licensed Vocational Nurse: 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 re…

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About NPI 1164167136

Lisa Phetchamphone's National Provider Identifier is 1164167136, issued on May 3, 2022. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Ceres, CA. The record was last updated on May 3, 2022.