Lajuana D Campbell, APRN | |
33049 Professional Dr Ste 103, Leesburg, FL 34788-3705 | |
(352) 353-6967 | |
Not Available |
Full Name | Lajuana D Campbell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 33049 Professional Dr Ste 103, Leesburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316528003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN11010016 (Florida) | Primary |
Entity Name | Quality Physician Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164906871 PECOS PAC ID: 7113263260 Enrollment ID: O20190109003270 |
Mailing Address | Practice Location Address |
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Lajuana D Campbell, APRN 33049 Professional Dr Ste 103, Leesburg, FL 34788-3705 Ph: (352) 353-6967 | Lajuana D Campbell, APRN 33049 Professional Dr Ste 103, Leesburg, FL 34788-3705 Ph: (352) 353-6967 |
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