Provider Demographics
NPI:1043457591
Name:CAMPBELL, LAURA KATHRYN (DO)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:KATHRYN
Last Name:CAMPBELL
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Gender:F
Credentials:DO
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR STE 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:600 NORTH WOLFE STREET
Practice Address - Street 2:JHOC 3142
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-287-2917
Practice Address - Fax:410-655-6548
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2018-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDH848502085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology