Doctor Name: | MS. LINDSAY CAMPBELL |
NPI Number: | 1053411652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | ARNP739382 |
Business Practice Address: | 619 South Marion Avenue 11 Fa Department Of Veterans Affairs Medical Center Lake City, FL - 32025 |
Business Phone Number: | 3867553016 |
Business Fax Number: | 3862546456 |
Mailing Address: | Po Box 3232, LAKE CITY |
State: | FL |
Postal Code: | 32056 |
Phone Number: | 3869354642 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | ARNP739382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |