Individual provider · Type 1 NPI

Lotsavan Chandavong, RN

Emergency Registered Nurse · Gallup, NM

NPI number 1649804915 Active

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

477 S Naranja Ave
Port St. Lucie, FL 34983-2221

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X9322682 (FL)

Emergency Registered Nurse: Definition to come...

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About NPI 1649804915

Lotsavan Chandavong, RN's National Provider Identifier is 1649804915, issued on Feb 26, 2020. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Gallup, NM. The record was last updated on Feb 26, 2020.