Individual
MRS. CASSIE DENISE CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
601 DR. MICHAEL DEBAKEY DR., LAKE CHARLES, LA 70601-5726
(337) 304-4820
Mailing address
1429 SOUTHERN OAKS DR., SULPHUR, LA 70665-7946
(337) 304-4820
(337) 583-4068
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
4672-01
LA
Other
Enumeration date
07/26/2010
Last updated
05/10/2016
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