Provider Demographics
NPI:1174517387
Name:CAMPBELL, CHRISTINE LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LYNN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1672 BENT TREE
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-5224
Mailing Address - Country:US
Mailing Address - Phone:325-513-7514
Mailing Address - Fax:
Practice Address - Street 1:LANSTUHL REGIONAL MEDICAL CENTER
Practice Address - Street 2:UNIT 33100
Practice Address - City:APO AE
Practice Address - State:TX
Practice Address - Zip Code:09018-3100
Practice Address - Country:US
Practice Address - Phone:314-590-6635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI125422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI12542OtherMEDICAL LICENSE