MEDICARE: OLGA LIDIA CAMPA

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
1	171M00000X	Case Manager/Care Coordinator		NM

General Provider Information

NPI Number	:	1568312601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA LIDIA CAMPA

Provider Business Mailing Address
First Line	:	PO BOX 2243
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88004-2243
Country	:	US
Telephone Number	:	575-527-5482
Fax Number	:	575-652-3785

Provider Business Practice Location Address
First Line	:	999 W AMADOR AVE
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2739
Country	:	US
Telephone Number	:	575-556-9681
Fax Number	:	575-652-3785

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	02/10/2026

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Directions to “ OLGA LIDIA CAMPA ” Practice Location

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