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NPI Code Detail

MEDICARE: LAURA A DEL CAMPO PA-C

MEDICARE:   LAURA A DEL CAMPO  PA-C
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
1363A00000XPhysician AssistantPA9106717FL
2363A00000XPhysician Assistant0110008646VA

General Provider Information

NPI Number : 1730431883
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA A DEL CAMPO PA-C
Provider Business Mailing Address
First Line : PO BOX 715868
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19171-5868
Country : US
Telephone Number : 804-327-9242
Fax Number :
Provider Business Practice Location Address
First Line : 1920 BALLENGER AVE STE 200
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-6818
Country : US
Telephone Number : 703-810-5209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2012
Last Update Date : 10/11/2022

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Directions to “ LAURA A DEL CAMPO PA-C” Practice Location

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