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Contact Information

LISA M CAMPBELL, AGNP
11155 DUNN RD
DIV SURG CT ADULT CARDIO, STE 209E
SAINT LOUIS, MO63136-6150
 Phone: 314-362-7260
 Fax: 866-272-2816
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LISA M CAMPBELL · (Female)

NPI Number 1629661723
Status Active
Credentials AGNP
Entity Individual
Enumeration date 02/19/2021
Last updated 05/28/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2020033733
  • MO Medicaid 420093620
Hospital affiliation(s)
  • CHRISTIAN HOSPITAL NORTHEAST - (Acute Care)
    11133 DUNN ROAD
    SAINT LOUIS, MO 63136
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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