Individual
LAINE H CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
300 SE HOSPITAL AVE, STUART, FL 34994-2338
(772) 223-5945
(772) 223-5871
Mailing address
PO BOX 9033, STUART, FL 34995-9033
(772) 223-5945
(772) 288-5871
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND5140
FL LICENSE
FL
Enumeration date
05/28/2008
Last updated
06/09/2008
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