Individual
LLOYD C CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
370 E VIRGINIA AVE, SUITE 100, PHOENIX, AZ 85004-1214
(602) 258-4788
(602) 258-5131
Mailing address
PO BOX 7587, PHOENIX, AZ 85011-7587
(602) 258-4788
(602) 258-5131
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
27791
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482266
—
AZ
01
—
Z131863
MEDICARE
AZ
Enumeration date
07/29/2005
Last updated
07/21/2022
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