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Individual

LAKOTA CAMPOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN1005272
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110821900
FL
01
Y8HDD
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/16/2020
Last updated
02/16/2022
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