LORRAINE A CHAMPION

SANTA ROSA, CA
NPI1932190949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  A36803)
Additional Taxonomies174400000X Specialist
(Licence: GA  062956)
Enumeration Date2005-10-31
Last Update Date2021-01-25
Business Address
LORRAINE A CHAMPION MD
3555 ROUND BARN CIR
SANTA ROSA, CA 95403
Phone number: 707-528-1050
Mailing Address
LORRAINE A CHAMPION MD
3555 ROUND BARN CIR
SANTA ROSA, CA 95403-1757
Phone number: