Provider Demographics
NPI:1437920964
Name:CAMPEAN, CASSANDRA (CD, IBCLC)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:CAMPEAN
Suffix:
Gender:F
Credentials:CD, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11806 NEW BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:44452-9517
Mailing Address - Country:US
Mailing Address - Phone:330-503-8208
Mailing Address - Fax:
Practice Address - Street 1:11806 NEW BUFFALO RD
Practice Address - Street 2:
Practice Address - City:NORTH LIMA
Practice Address - State:OH
Practice Address - Zip Code:44452-9517
Practice Address - Country:US
Practice Address - Phone:330-503-8208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1909374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula