NPI 1013925965

Champion Urology LTD

Organisation Urology Physician Westerly, RI

Practice location

Address: 35 Wells Street, Westerly, RI 02891
Phone: (401) 596-0964
Fax: (401) 596-8634
Mailing address: 35 Wells St, Westerly, RI 02891-2922

Authorised official

Name: Constance Lin Lutzel
Title: Office Manager
Phone: (401) 596-0964

Registered specialties (3)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 7511 (RI)

Other Urology providers in Rhode Island →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 10831 (RI)

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 040289 (CT)

Registry record

NPI: 1013925965
Entity type: Organization
NPI issued: 4 Aug 2006
Record last updated: 25 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.