Individual
LAURIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 E ONEIDA ST, BALDWINSVILLE, NY 13027-2480
(315) 638-6049
Mailing address
3587 REDHEAD TER, LIVERPOOL, NY 13090-1083
(315) 303-7071
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
526362
NY
Other
Enumeration date
12/06/2014
Last updated
12/15/2014
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