Individual
TINA M CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3519 PATRICK ST, SUITE 245, LAKE CHARLES, LA 70605-1748
(337) 477-2407
Mailing address
3519 PATRICK ST, SUITE 245, LAKE CHARLES, LA 70605-1748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104531
—
LA
Enumeration date
11/23/2015
Last updated
02/19/2016
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