NPI 1023219110

Amanda Susan Ellington, MD

Practitioner Surgery Physician Lake Charles, LA

Practice location

Address: 2770 3rd Ave STE 120, Lake Charles, LA 70601-8994
Phone: (337) 494-4868
Fax: (337) 494-4870
Mailing address: P.O. Box 122342 Dept 2342, Lake Charles, LA 70601

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 203251 (LA)

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Registry record

NPI: 1023219110
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2007
Record last updated: 9 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.