Organization
CHAMPION UROLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONSTANCE LIN LUTZEL (OFFICE MANAGER)
(401) 596-0964
Entity
Organization
Contact information
Practice address
35 WELLS STREET, WESTERLY, RI 02891
(401) 596-0964
(401) 596-8634
Mailing address
35 WELLS ST, WESTERLY, RI 02891-2922
(401) 596-0964
(401) 596-8634
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
040289
CT
208800000X
Urology Physician
10831
RI
208800000X
Urology Physician
Primary
7511
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114204
—
CT
05
—
CU43922
—
RI
Enumeration date
08/04/2006
Last updated
04/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us