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Individual

LORRIE L CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1014 MADISON ST, JEFFERSON CITY, MO 65101-3458
(573) 644-6999
(573) 644-7880
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-29802
KS
207Q00000X
Family Medicine Physician
Primary
2001008532
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100422870 A
KS
Enumeration date
03/30/2006
Last updated
04/01/2024
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