Individual
WALTER LEE CAMPBELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3140 FLORIDA STREET, BATON ROUGE, LA 70806-3757
(225) 650-2000
(225) 650-2099
Mailing address
PO BOX 66156, BATON ROUGE, LA 70896-6156
(225) 650-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
018859
LA
207RI0200X
Infectious Disease Physician
Primary
018859
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361691
—
LA
Enumeration date
09/19/2005
Last updated
03/15/2011
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