| Mr Carroll Marc Champagne Jr, LPN | |
|
Unit 6, Meadow Lane, Central Louisiana State Hospital, Pineville, LA 71360 | |
| (318) 484-6400 | |
| Not Available |
| Full Name | Mr Carroll Marc Champagne Jr |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | Unit 6, Meadow Lane, Pineville, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790861953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 850513 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Carroll Marc Champagne Jr, LPN 2747 Highway 28 E, Apt 306, Pineville, LA 71360-5700 Ph: (318) 449-9615 | Mr Carroll Marc Champagne Jr, LPN Unit 6, Meadow Lane, Central Louisiana State Hospital, Pineville, LA 71360 Ph: (318) 484-6400 |
Tremeka Nichole Johnson Greenhouse, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 401 Rainbow Dr Unit 35, Pineville, LA 71360 Phone: 318-487-5191 | |
Jennifer Marie Thompson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-473-0010 | |
Tracey Brandin Spence, LPN 1 Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 242 West Shamrock St, Unit 6 Meadow Lane, Pineville, LA 71360 Phone: 318-484-6400 Fax: 318-487-5703 | |
Ms. Linda Childress, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 242 West Shamrock Street Unit 1, Pineville, LA 71360 Phone: 318-484-6230 | |
Mary E Severance, LPN2 Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 242 Shamrock St, Red River Addictions Complex, Pineville, LA 71306 Phone: 318-484-6614 Fax: 318-487-5703 | |
Ms. Kathy Ann Brieger, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: Unit 6, Meadow Lane, Rrtc Central State Hospital, Pineville, LA 71306 Phone: 318-484-6402 Fax: 318-487-5703 | |
Mrs. Tracey Ann Poydras, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 242 W Shamrock St., Unit 6 Meadow Lane, Pineville, LA 71360 Phone: 318-484-6400 Fax: 318-487-5703 |