| Doctor Name: | MS. LAURA CAMPBELL |
| NPI Number: | 1013291491 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 0024169667 |
| Business Practice Address: | 3650 Joseph Siewick Dr. Suite 400 Fairfax, VA - 22033 |
| Business Phone Number: | 7033912020 |
| Business Fax Number: | |
| Mailing Address: | Po Box 791128, BALTIMORE |
| State: | MD |
| Postal Code: | 212791128 |
| Phone Number: | 7033912030 |
| Fax Number: | 7032733943 |
| NPI Enumeration Date: | 10/04/2011 |
| NPI Last Update Date: | 10/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024169667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |