Individual provider · Type 1 NPI

Britney Inthavong-Phetthongdy

Student in an Organized Health Care Education/Training Program · Lebanon, MO

NPI number 1609774223 Active

Practice location

120 Hospital Dr Ste 100
Lebanon, MO 65536-9227

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5 other providers at this address

About NPI 1609774223

Britney Inthavong-Phetthongdy's National Provider Identifier is 1609774223, issued on Oct 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, MO. The record was last updated on Oct 26, 2026.