Campbell, Laurel Ann

Campbell, Laurel Ann is an individual health care provider with primary practice located at 1720 Woodlawn Ave Ste 1 , Dyersburg TN 38024-1300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Campbell, Laurel Ann can be contacted via phone (731) 287-4500.

Contact Information

Primary practice address
1720 Woodlawn Ave Ste 1 Dyersburg TN 38024-1300
Phone: (731) 287-4500
Fax: (731) 287-4804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2010023232 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 65917 Tennessee

Profile Details

NPI number 1063618932
LBN Legal business name Campbell, Laurel Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Oct 27th, 2022 - about 2 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 1063618932 NPPES
Tennessee MEDICAID Q077823

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