Provider Demographics
NPI:1962043513
Name:JAMES-CAMPBELL, LISA
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:
Last Name:JAMES-CAMPBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 COLUMBIA RD NW APT 301
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-4933
Mailing Address - Country:US
Mailing Address - Phone:202-705-1037
Mailing Address - Fax:
Practice Address - Street 1:1305 COLUMBIA RD NW APT 301
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-4933
Practice Address - Country:US
Practice Address - Phone:202-705-1037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCA00039923376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide