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NPI Code Detail

MEDICARE: LORENA MAIA CAMPOS COSTA MD

MEDICARE: LORENA MAIA CAMPOS COSTA MD
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
1207ZP0101XAnatomic Pathology Physician2025-01981NC

General Provider Information

NPI Number : 1548848435
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORENA MAIA CAMPOS COSTA MD
Provider Business Mailing Address
First Line : 8103 BRITTAINS FIELD RD
Second Line :
City : OAK RIDGE
State : NC
Zip : 27310-9600
Country : US
Telephone Number : 904-514-4538
Fax Number :
Provider Business Practice Location Address
First Line : 706 GREEN VALLEY RD STE 104
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-7043
Country : US
Telephone Number : 336-387-2500
Fax Number : 336-387-2501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2021
Last Update Date : 01/04/2026

Similar Medicare Providers

1699774992 — DR. FRED L. PICKLESIMER JR. M.D.
Practice Location Address:
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Practice Fax:
1487730800 — HYUN-SOON ELLEN KWARK M.D.
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1619194560 — MARK P LEGOLVAN D.O.
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1861654865 — DR. MELISSA M MUNOZ M.D.
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1669799276 — DR. NILESH DIGVIJAY KASHIKAR MD PHD
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1437440724 — DAWN LAIN BUTLER MD
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Directions to “ LORENA MAIA CAMPOS COSTA MD” Practice Location

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