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NPI 1023219110

IndividualActive

Amanda Ellington, MD

NPI 1023219110 · Surgery Physician · Lake Charles, LA

Provider details

NPI number: 1023219110
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: Yes
License: 203251 (LA)

Practice location

2770 3rd Ave Ste 120

Lake Charles, LA 70601-8994

Phone: (337) 494-4868

Fax: (337) 494-4870

More LA providers

Mailing address

P.o. Box 122342 Dept 2342

Lake Charles, LA 70601

Registry dates

Enumerated: 2007-05-29
Last updated: 2022-06-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amanda Ellington, MD — NPI 1023219110, Lake Charles, LA | NPI Central