Individual
ALEXIS MARIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
775 NORMAN DR, LEBANON, PA 17042-7497
(717) 274-5500
Mailing address
775 NORMAN DR, LEBANON, PA 17042-7497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057641
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO1790049
RAILROAD
PA
Enumeration date
06/18/2015
Last updated
03/27/2017
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