LANCE CHAMPAGNE

BOSSIER CITY, LA
NPI1740693522
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  200036)
Enumeration Date2014-06-09
Last Update Date2014-06-09
Business Address
-- LANCE CHAMPAGNE ATC, LAT
332 ANTIETAM DR
BOSSIER CITY, LA 71112-4793
Phone number: 318-795-2446
Mailing Address
-- LANCE CHAMPAGNE ATC, LAT
332 ANTIETAM DR
BOSSIER CITY, LA 71112-4793
Phone number: 318-795-2446
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