AMANDA SUSAN ELLINGTON

LAKE CHARLES, LA
NPI1023219110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: LA  203251)
Enumeration Date2007-05-29
Last Update Date2022-06-09
Business Address
AMANDA SUSAN ELLINGTON MD
2770 3RD AVE STE 120
LAKE CHARLES, LA 70601-8994
Phone number: 337-494-4868
Mailing Address
AMANDA SUSAN ELLINGTON MD
P.O. BOX 122342 DEPT 2342
LAKE CHARLES, LA 70601
Phone number: 337-494-2921