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Lorraine A Champion, MD
Specialist in Santa Rosa, California
NPI 1932190949

Lorraine A Champion is a Specialist based in Santa Rosa, CA. Lorraine A Champion practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Lorraine A Champion is 1932190949 and holds a License No. 062956 (California).

The current practice location address for Lorraine A Champion is 3555 Round Barn Cir, Santa Rosa, CA and can be reached out via phone at 707-528-1050 and via fax at 707-525-3874.

Location: 3555 Round Barn Cir, Santa Rosa, CA, 95403-1757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932190949
Provider Name
Lorraine A Champion
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3555 Round Barn Cir, Santa Rosa, CA, 95403-1757
Phone Number
707-528-1050
Fax Number
707-525-3874
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A368030 05 CA
01318995 05 GA
institution
Provider Business Practice Location Address Details
Address
3555 Round Barn Cir
City
Santa Rosa
State
California
Zip
95403
Phone Number
707-528-1050
Fax Number
707-525-3874
person
Provider Business Mailing Address Details
Address
3555 Round Barn Cir
City
Santa Rosa
State
California
Zip
95403
Phone Number
707-528-1050
Fax Number
707-525-3874
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
062956 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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