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MR. LOTSAVAN CHANDAVONG RN
NPI 1649804915
Registered Nurse - Emergency in Gallup, NM

Active since February 26, 2020
516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Lotsavan Chandavong Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LOTSAVAN CHANDAVONG RN (NPI 1649804915) is an individual emergency provider in Gallup, New Mexico, licensed in Florida (9322682) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1649804915
Entity TypeIndividualMale
Primary Taxonomy163WE0003X
Provider Legal NameMR. LOTSAVAN CHANDAVONGCredential: RN
Location Address516 E NIZHONI BLVDGallup, NM 87301-5748
Mailing Address477 S Naranja AvePort St Lucie, FL 34983-2221 · (754) 234-3044
Phone(505) 722-1000
Sole ProprietorNo
Enumeration DateFebruary 26, 2020
✔ NPI 1649804915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in FL · 9322682
516 E NIZHONI BLVD, Gallup, NM 87301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RAMDAS BHANDARI MD
Orthopaedic Surgery
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
DR. FREDERIC WILLIAM HELD M.D.
Internal Medicine
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
MUFARO DUBE MD
Obstetrics & Gynecology
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
SANDRA MARIE GARCIA MD
Pediatrics
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
RICHARD SORGEN MD
Radiology (Diagnostic Radiology)
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
DR. JENNIFER ANN MALEK PHARM D.
Pharmacist
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1185
ROGER HASSINGER MD
Family Medicine
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
JUDITH S. DENINA MD
Family Medicine
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lotsavan Chandavong's NPI number?

The NPI number for Lotsavan Chandavong is 1649804915. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Lotsavan Chandavong located?

Lotsavan Chandavong practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Lotsavan Chandavong's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.

When was this NPI record last updated?

The NPPES record for Lotsavan Chandavong was last updated on February 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.