Organization
DR. L M CAMPBELL, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOWELL MASON CAMPBELL III LP (PSYCHOLOGIST)
(952) 445-1378
Entity
Organization
Contact information
Practice address
287 SOUTH MARSCHALL ROAD, SUITE 203, SHAKOPEE, MN 55379
(952) 445-1397
(952) 445-1398
Mailing address
287 SOUTH MARSCHALL ROAD, PO BOX 336 SUITE 203, SHAKOPEE, MN 55379
(952) 445-1397
(952) 445-1398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LP2631
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
MN
01
—
01010981
PREFERREDONE ID
MN
01
—
1659393684
CORP NPI
MN
01
—
51053CA
BCBS ID
MN
01
—
51217CA
BCBS GROUP ID
MN
01
—
61-20043
MEDICA ID
MN
01
—
HP19455
HEALTHPARTNERS ID
MN
Enumeration date
08/05/2006
Last updated
05/21/2020
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