Provider Demographics
NPI:1649631797
Name:CAMPBELL, LAUREN MICHELLE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MICHELLE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:7301 E 2ND ST STE 106
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5609
Mailing Address - Country:US
Mailing Address - Phone:480-994-0308
Mailing Address - Fax:480-941-3740
Practice Address - Street 1:7301 E 2ND ST STE 106
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5609
Practice Address - Country:US
Practice Address - Phone:480-994-0308
Practice Address - Fax:480-941-3740
Is Sole Proprietor?:No
Enumeration Date:2016-03-17
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCPA031574363A00000X
NC0010-06327363A00000X
AZ10568363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant