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LILY CAMPBELL
NPI 1497322648
Technician/Technologist in Dearborn, MI

Active since June 07, 2021
19853 OUTER DR STE 110, DEARBORN, MI 48124(313) 406-5056 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lily Campbell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILY CAMPBELL (NPI 1497322648) is an individual technician/technologist in Dearborn, Michigan and active in the NPI registry since June 2021. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1497322648
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameLILY CAMPBELL
Location Address19853 OUTER DR STE 110Dearborn, MI 48124-2044
Mailing Address19853 Outer Dr Ste 110Dearborn, MI 48124-2044 · (313) 406-5056
Phone(313) 406-5056
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 7, 2021
Last NPPES UpdateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1497322648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
19853 OUTER DR STE 110, Dearborn, MI 48124
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Campbell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143733733
PECOS Enrollment IDI20250627000862

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RANIA AHMED HADARAH
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (406) 505-6313
MEGHAN HONORA ELIZABETH KELLEY
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
RANDY HUNTER JR.
Behavior Technician
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
REEM ABUSHAWISH
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
SAJA MAHMOUD
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
HADEL MAZLOUM
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
COREY MICHAEL GEARHAT
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
MICHAEL ANDRE THIBAULT JR.
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lily Campbell's NPI number?

The NPI number for Lily Campbell is 1497322648. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Lily Campbell located?

Lily Campbell practices at 19853 Outer Dr Ste 110, Dearborn, MI 48124. The listed phone number is (313) 406-5056.

What is Lily Campbell's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

Is Lily Campbell enrolled in Medicare?

Yes. Lily Campbell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lily Campbell was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.