BRITTANY KHAMPHILAVONG

LAKE CHARLES, LA
NPI1033516265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA200771)
Enumeration Date2014-12-03
Last Update Date2019-08-13
Business Address
BRITTANY KHAMPHILAVONG PA
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601-8911
Phone number: 337-494-3000
Mailing Address
BRITTANY KHAMPHILAVONG PA
PO BOX 960482
OKLAHOMA CITY, OK 73196-0482
Phone number: 855-686-8430
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