Provider Demographics
NPI:1750124848
Name:CAMPLESE, LEILA RENEE
Entity type:Individual
Prefix:
First Name:LEILA
Middle Name:RENEE
Last Name:CAMPLESE
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 1:137 BRADFORD RD
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-1558
Mailing Address - Country:US
Mailing Address - Phone:978-606-3313
Mailing Address - Fax:
Practice Address - Street 1:137 BRADFORD RD
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1558
Practice Address - Country:US
Practice Address - Phone:978-606-3313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant