Champion, Lauren G.

Champion, Lauren G. is an individual health care provider with primary practice located at 800 N Fant St , Anderson SC 29621-5708. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Champion, Lauren G. can be contacted via phone (864) 512-1198.

Contact Information

Primary practice address
800 N Fant St Anderson SC 29621-5708
Phone: (864) 512-1198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2930 South Carolina

Profile Details

NPI number 1801854476
LBN Legal business name Champion, Lauren G.
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jun 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801854476 NPPES
South Carolina MEDICAID TH1499

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