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Organization
LAWRENCE D. CAMPBELL, M.D. PC
Active
Organization
LAWRENCE D. CAMPBELL, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE D CAMPBELL M.D. (PRESIDENT)
(631) 969-9600
Entity
Organization
Contact information
Practice address
32 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 969-9600
(631) 968-7624
Mailing address
32 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 969-9600
(631) 968-7624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
166249-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000AN2
EMPIRE BCBS
NY
05
—
00977793
—
NY
Enumeration date
01/08/2010
Last updated
04/01/2010
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