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1023219110
AMANDA SUSAN ELLINGTON
LAKE CHARLES, LA
NPI
1023219110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: LA 203251)
Enumeration Date
2007-05-29
Last Update Date
2022-06-09
Business Address
AMANDA SUSAN ELLINGTON MD
2770 3RD AVE STE 120
LAKE CHARLES, LA 70601-8994
Phone number: 337-494-4868
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Mailing Address
AMANDA SUSAN ELLINGTON MD
P.O. BOX 122342 DEPT 2342
LAKE CHARLES, LA 70601
Phone number: 337-494-2921
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