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NPI Code Detail

MEDICARE: HEATHER CAMPBELL LE

MEDICARE:   HEATHER  CAMPBELL  LE
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
1374700000XTechnicianL10063CA

General Provider Information

NPI Number : 1417824889
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER CAMPBELL LE
Provider Business Mailing Address
First Line : 1235 PARADISE DR
Second Line :
City : MARTINEZ
State : CA
Zip : 94553-4851
Country : US
Telephone Number : 510-734-8456
Fax Number :
Provider Business Practice Location Address
First Line : 3467 GOLDEN GATE WAY
Second Line :
City : LAFAYETTE
State : CA
Zip : 94549-4418
Country : US
Telephone Number : 510-734-8456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2025
Last Update Date : 10/21/2025

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Directions to “ HEATHER CAMPBELL LE” Practice Location

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