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Contact Information

AMANDA S ELLINGTON, MD
2770 3RD AVE STE 120
LAKE CHARLES, LA70601-8994
 Phone: 337-494-4868
 Fax: 337-494-4870
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for AMANDA S ELLINGTON · (Female)

NPI Number 1023219110
Status Active
Credentials MD
Entity Individual
Enumeration date 05/29/2007
Last updated 06/09/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 203251
  • LA Medicaid 1099791
  • LA Other MD.203251 STATE MEDICAL LICENSE
Hospital affiliation(s)
  • JENNINGS AMERICAN LEGION HOSPITAL - (Acute Care)
    1634 ELTON ROAD
    JENNINGS, LA 70546
  • LAKE CHARLES MEMORIAL HOSPITAL - (Acute Care)
    1701 OAK PARK BLVD
    LAKE CHARLES, LA 70601
  • WEST CALCASIEU CAMERON HOSPITAL - (Acute Care)
    701 EAST CYPRESS STREET
    SULPHUR, LA 70663
  • WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES - (Acute Care)
    4200 NELSON ROAD
    LAKE CHARLES, LA 70605
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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