# DR. CARRIE LYN CHAMPINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922214527
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0102203413 | VA | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 5101015707 | MI | — |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 02/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1922214527 | — | VA |
| 05 | — | 5201450 | — | MI |