Individual
LORNE R CAMPBELL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 ARCH ST, JOHNSON CITY, NY 13790-2102
(607) 763-6075
(607) 763-5234
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 763-6075
(607) 763-5234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
055562
GA
207Q00000X
Family Medicine Physician
Primary
164798
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01043443
—
NY
Enumeration date
06/20/2005
Last updated
11/04/2014
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