Campbell, Lorrie L

Campbell, Lorrie L is an individual health care provider with primary practice located at 1014 Madison St , Jefferson City MO 65101-3458. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Campbell, Lorrie L can be contacted via phone (573) 644-6999.

Contact Information

Primary practice address
1014 Madison St Jefferson City MO 65101-3458
Fax: (573) 644-7880
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2001008532 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 05-29802 Kansas

Profile Details

NPI number 1033170006
LBN Legal business name Campbell, Lorrie L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Apr 1st, 2024 - about 8 months 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 1033170006 NPPES
Kansas MEDICAID 100422870 A

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