Individual
LAURA L CHAMPAGNE
Active
Individual
LAURA L CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J1922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104700301
—
TX
05
—
104700309
—
TX
01
—
260039681
RR MEDICARE
TX
01
—
85C460
BCBS OF TX
TX
Enumeration date
05/17/2006
Last updated
04/23/2026
Update your record
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