Provider Demographics
NPI:1548492432
Name:CAMPBELL, MARGARET ANN (LAC, LMT)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:MS
Other - First Name:MARGY
Other - Middle Name:
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC, LMT
Mailing Address - Street 1:PO BOX 81599
Mailing Address - Street 2:
Mailing Address - City:HAIKU
Mailing Address - State:HI
Mailing Address - Zip Code:96708-1599
Mailing Address - Country:US
Mailing Address - Phone:808-385-1643
Mailing Address - Fax:
Practice Address - Street 1:1061 KOKOMO RD
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-5006
Practice Address - Country:US
Practice Address - Phone:808-385-1643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU518171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist