Organization
ELIZABETH CHAMPAGNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH G CHAMPAGNE RD (REGISTERED DIETITIAN)
(337) 277-1069
Entity
Organization
Contact information
Practice address
1304 LAFAYETTE ST, LAFAYETTE, LA 70501-6842
(337) 277-1069
Mailing address
1304 LAFAYETTE ST, LAFAYETTE, LA 70501-6842
(337) 277-1069
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
298
LA
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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