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Individual
LARA K CAMPAGNA
Active
Individual
LARA K CAMPAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102427
NC
363AS0400X
Surgical Physician Assistant
102427
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487703492
—
NC
01
—
FH4001815
FIRSTMEDICAREDIRECT/FIRSTCAROLINACARE
NC
01
—
P01394428
RAILROAD MEDICARE PTAN
NC
Enumeration date
01/09/2007
Last updated
01/23/2018
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