Individual
LISA ANN CHAMPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 N ERIE ST, MAYVILLE, NY 14757-1095
(716) 753-4436
Mailing address
7 N ERIE ST, MAYVILLE, NY 14757-1095
(716) 753-4436
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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