Cassie Denise Champagne, LMT
Contractor in Lake Charles, LA. Individual provider (NPI-1).
NPI number1659685196
StatusActive
Last updated in NPPESMay 10, 2016
Details
- NPI
- 1659685196
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Cassie Denise Champagne
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2010
- Last updated
- May 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 4672-01 | LA | Yes |
Other names
- Cassie Denise Jackson (Former Name)
Practice location
601 Dr. Michael Debakey Dr.Lake Charles, LA 70601-5726
Phone 337-304-4820
Mailing address
1429 Southern Oaks Dr.Sulphur, LA 70665-7946
Phone 337-304-4820 · Fax 337-583-4068
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