Campagna, Lara K
Campagna, Lara K is an individual health care provider with primary practice located at 205 Page Rd , Pinehurst NC 28374-8749. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Campagna, Lara K can be contacted via phone (910) 295-9359.Contact Information
Primary practice address
205 Page Rd
Pinehurst NC 28374-8749
Phone: (910) 295-9359
Fax: (910) 235-3401
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 102427 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 102427 | North Carolina |
Profile Details
NPI number | 1487703492 |
---|---|
LBN Legal business name | Campagna, Lara K |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2007 |
Last updated | Jan 23rd, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487703492 | NPPES |
North Carolina | MEDICAID | 1487703492 | |
North Carolina | Other | FH4001815 | |
North Carolina | Other | P01394428 |
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