Organization
CHAMPION & CHAMPION PA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE CHAMPION M.D. (PRESIDENT)
(919) 317-4088
Entity
Organization
Contact information
Practice address
2609 N DUKE ST, 602, DURHAM, NC 27704-3048
(919) 317-4088
Mailing address
PO BOX 1314, CHAPEL HILL, NC 27514-1314
(919) 317-4088
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
19912
NC
Other
Enumeration date
02/02/2012
Last updated
08/07/2013
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