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LENELL ANGELO CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
335 W 9TH ST UNIT 1006, INDIANAPOLIS, IN 46202-3127
(219) 487-8850

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003794A
IN
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/22/2022
Last updated
12/20/2022
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