Provider Demographics
NPI:1336935782
Name:CAMPBELL, LINDSEY NICOLE
Entity type:Individual
Prefix:MISS
First Name:LINDSEY
Middle Name:NICOLE
Last Name:CAMPBELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 SAGE AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-4232
Mailing Address - Country:US
Mailing Address - Phone:937-520-8991
Mailing Address - Fax:
Practice Address - Street 1:2905 SAGE AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-4232
Practice Address - Country:US
Practice Address - Phone:937-520-8991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant