Individual
MR. LOTSAVAN CHANDAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
477 S NARANJA AVE, PORT ST LUCIE, FL 34983-2221
(754) 234-3044
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
9322682
FL
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us