Individual
LEE CREPEAU CAMPANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 E MAIN ST STE 105, MILFORD, MA 01757-2826
(508) 473-7599
(508) 473-1418
Mailing address
9 INDUSTRIAL RD STE 5, MILFORD, MA 01757-3736
(508) 473-1480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036121158
IL
207R00000X
Internal Medicine Physician
Primary
1014913
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121158
—
IL
01
—
920540
MEDICARE GROUP PTAN
IL
01
—
F400137178
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
04/17/2007
Last updated
11/07/2025
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