| Dr. L M Campbell, Ltd | |
|
287 South Marschall Road Suite 203 Shakopee MN 55379 | |
| (952) 445-1397 | |
| (952) 445-1398 |
| Full Name | Dr. L M Campbell, Ltd |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 287 South Marschall Road, Shakopee, Minnesota |
| Authorized Official Name and Position | Lowell Mason Campbell (PSYCHOLOGIST) |
| Authorized Official Contact | 9524451378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. L M Campbell, Ltd 287 South Marschall Road Po Box 336 Suite 203 Shakopee MN 55379 Ph: (952) 445-1397 | Dr. L M Campbell, Ltd 287 South Marschall Road Suite 203 Shakopee MN 55379 Ph: (952) 445-1397 |
| NPI Number | 1346259041 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346259041 | NPI | - | NPPES |
| 51053CA | Other | MN | BCBS ID |
| 61-20043 | Other | MN | MEDICA ID |
| $$$$$$$$$ | Other | MN | SOCIAL SECURITY |
| 01010981 | Other | MN | PREFERREDONE ID |
| 1659393684 | Other | MN | CORP NPI |
| 51217CA | Other | MN | BCBS GROUP ID |
| HP19455 | Other | MN | HEALTHPARTNERS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LP2631 (Minnesota) | Primary |
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