Individual
DR. LYSANNE CAMPEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.C.M.
Contact information
Practice address
391 TECHNOLOGY WAY, WINSTON SALEM, NC 27101-3074
(336) 713-7293
Mailing address
391 TECHNOLOGY WAY, WINSTON SALEM, NC 27101-3074
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2010-00932
NC
Other
Enumeration date
03/09/2012
Last updated
04/10/2012
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