Michelle Jean Champion, L.Ac.
Acupuncturist in Lakeport, CA. Individual provider (NPI-1).
NPI number1982205332
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1982205332
- Entity type
- Individual (NPI-1)
- Name
- Michelle Jean Champion
- Credential
- L.Ac.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 12768 | CA | Yes |
Other names
- Michelle Jean Bummins (Former Name)
Practice location
925 Bevins CtLakeport, CA 95453-9754
Phone 707-263-8383 · Fax 707-263-5019
Mailing address
Po Box 1950Lakeport, CA 95453-1950
Phone 707-263-8383 · Fax 707-263-5019
Other practice locations
14440 Olympic Drive
Clearlake, CA 95422-8809
Clearlake, CA 95422-8809
Phone 707-263-8383 · Fax 707-263-5019
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