Lance Champagne ATC, LAT

NPI 1740693522 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1740693522
Gender Male
Enumeration Date 06/09/2014
Last Updated 06/09/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
332 ANTIETAM DR
BOSSIER CITY LA, 71112-4793, US
Phone (318) 795-2446
Fax
Business Location
332 ANTIETAM DR
BOSSIER CITY LA, 71112-4793, US
Phone (318) 795-2446
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Louisiana
License Number 200036
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According to our database, Lance Champagne ATC, LAT NPI is 1740693522, taxonomy code is 2255A2300X and license number is 200036, license state is located at Louisiana. Lance Champagne ATC, LAT physically located at 332 Antietam Dr, Bossier City LA, 71112-4793. NPI Number Lance Champagne ATC, LAT has the Individual type.

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1740693522 NPI number is provided on an as is basis without warranty of any kind. 1740693522 is maintained by the National Plan & Provider Enumeration System. The contents of Lance Champagne ATC, LAT are for informational purposes only.