Champion Urology Ltd

NPI #1013925965 in Westerly, Rhode Island

Provider Information

NPI Number: 1013925965
Entity Type: Organization
Organization Name: Champion Urology Ltd
Primary Specialty: Urology
Enumeration Date: Aug 4, 2006
Last Updated: Apr 25, 2008

Practice Location

Address: 35 WELLS STREET
City: Westerly
State: Rhode Island
ZIP Code: 02891
Phone: (401) 596-0964

Authorized Official

Name: MRS. CONSTANCE LIN LUTZEL
Title: OFFICE MANAGER
Phone: (401) 596-0964

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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