Lisa Randolph
NPI #1114393279 in San Luis Obispo, California
Provider Information
- NPI Number
- 1114393279
- Entity Type
- Individual
- Name
- Lisa Randolph
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 12, 2015
- Last Updated
- Aug 12, 2015
Practice Location
- Address
- 1010 MURRAY AVE
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93405-1806
- Phone
- (805) 546-7600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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