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NPI Code Detail

MEDICARE: CONNIE CAMPBELL LMT

MEDICARE: CONNIE CAMPBELL LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractorMT015603TX
2174400000XSpecialistMT015603TX

General Provider Information

NPI Number : 1396943023
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE CAMPBELL LMT
Provider Business Mailing Address
First Line : PO BOX 842
Second Line : 207 NORTH MAIN AVE
City : LAMESA
State : TX
Zip : 79331-0842
Country : US
Telephone Number : 806-872-3958
Fax Number :
Provider Business Practice Location Address
First Line : 207 N MAIN AVE
Second Line :
City : LAMESA
State : TX
Zip : 79331-5533
Country : US
Telephone Number : 806-872-3958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 09/11/2025

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Directions to “ CONNIE CAMPBELL LMT” Practice Location

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