Laramie Logan Campbell, B.S.
Counselor in Enid, OK. Individual provider (NPI-1).
NPI number1902109002
StatusActive
Last updated in NPPESDec 10, 2010
Details
- NPI
- 1902109002
- Entity type
- Individual (NPI-1)
- Name
- Mr. Laramie Logan Campbell
- Credential
- B.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2010
- Last updated
- Dec 10, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
300 W Randolph Ave Ste AEnid, OK 73701-3866
Phone 580-774-9261
Mailing address
4436 Nw 50th StOklahoma City, OK 73112-2212
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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