Organization
LIDEE OF AESTHETICS AND GYNECOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY L BRAITHWAITE (OFFICE MANAGER)
(540) 437-1296
Entity
Organization
Contact information
Practice address
1992 MEDICAL AVE, HARRISONBURG, VA 22801-3436
(540) 437-1296
(540) 437-1298
Mailing address
1992 MEDICAL AVE, HARRISONBURG, VA 22801-3436
(540) 437-1296
(540) 437-1298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
101054345
VA
207VG0400X
Gynecology Physician
Primary
101037944
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144250
DR CAMPER ANTHEM PROVIDER
VA
01
—
1477716959
DR MARLO NPI
VA
01
—
2129961
DR CAMPER MAMSI
VA
01
—
243253
DR CAMPER SOUTHERN HEALTH
VA
01
—
541480016005
DR CAMPER CIGNA
VA
01
—
DF1466
RAILROAD MEDICAL PTAN GROUP
—
01
—
P00341994
RAILROAD MEDICARE PTAN-DR CAMPER
—
Enumeration date
06/06/2006
Last updated
04/16/2013
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