Individual
CHANEL LAZETTE CHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 MARION BARRY AVE SE, WASHINGTON, DC 20020-5615
(202) 905-8475
Mailing address
810 NEW JERSEY AVE NW APT 512, WASHINGTON, DC 20001-5771
(202) 905-8475
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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