Provider Demographics
NPI:1902583834
Name:CAMPER, LAWREN ARDELLA
Entity Type:Individual
Prefix:
First Name:LAWREN
Middle Name:ARDELLA
Last Name:CAMPER
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 1:3634 WOODGLADE LN
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-4044
Mailing Address - Country:US
Mailing Address - Phone:901-497-8498
Mailing Address - Fax:
Practice Address - Street 1:3634 WOODGLADE LN
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-4044
Practice Address - Country:US
Practice Address - Phone:901-497-8498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist