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LAVANTRE PHAVORACHITH
NPI 1720653900
Licensed Vocational Nurse in Fresno, CA

Active since May 21, 2021
4411 E KINGS CANYON RD, FRESNO, CA 93702(559) 453-1008 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2023, May 28, 2021, May 21, 2021 (3 updates tracked since 2021).

About Lavantre Phavorachith NPPES

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

LAVANTRE PHAVORACHITH (NPI 1720653900) is an individual licensed vocational nurse in Fresno, California, licensed in California (VN717375) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1720653900
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameLAVANTRE PHAVORACHITH
Location Address4411 E KINGS CANYON RDFresno, CA 93702-3604
Mailing Address4411 E Kings Canyon RdFresno, CA 93702-3604 · (559) 453-1008
Phone(559) 453-1008
Sole ProprietorYes
Enumeration DateMay 21, 2021
Last NPPES UpdateMay 3, 20233 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1720653900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · VN717375
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
4411 E KINGS CANYON RD, Fresno, CA 93702
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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.

MRS. ESTHER I AKANDE LVN
Licensed Vocational Nurse
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 325-6144
MAYRA ANDREA ROSEL-BUCIO
Marriage & Family Therapist
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 623-0900
MS. SANDRA KAY MORENO R.N.
Registered Nurse (Psychiatric/Mental Health)
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008
SINCERAE CAMERON RN
Registered Nurse (Psychiatric/Mental Health)
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008
SHELA YANG
Licensed Vocational Nurse
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008
NADA MOUA
Registered Nurse (Psychiatric/Mental Health)
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008
ARLENE PUTNAM
Nurse Practitioner (Family)
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008
AMANDA YVETTE COLUNGA
Registered Nurse (Psychiatric/Mental Health)
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008

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 Lavantre Phavorachith's NPI number?

The NPI number for Lavantre Phavorachith is 1720653900. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Lavantre Phavorachith located?

Lavantre Phavorachith practices at 4411 E Kings Canyon Rd, Fresno, CA 93702. The listed phone number is (559) 453-1008.

What is Lavantre Phavorachith's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Lavantre Phavorachith was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.