Individual
LYONEL CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
5795 CLINT LN, BEAUMONT, TX 77713-9810
(954) 557-5651
(855) 232-8604
Mailing address
5795 CLINT LN, BEAUMONT, TX 77713-9810
(954) 557-5651
(855) 232-8604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116676
TX
225X00000X
Occupational Therapist
OT2557
FL
Other
Enumeration date
08/07/2007
Last updated
10/25/2018
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