Provider Demographics
NPI:1679719173
Name:CAMPBELL, LORI MARGARET (MD)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:MARGARET
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8806 EAGLE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-4989
Mailing Address - Country:US
Mailing Address - Phone:865-531-7703
Mailing Address - Fax:
Practice Address - Street 1:8806 EAGLE POINTE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-4989
Practice Address - Country:US
Practice Address - Phone:865-531-7703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19711207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine