Laura C. Randolph MD Sc

NPI #1255527727 in Bloomington, Illinois

Provider Information

NPI Number
1255527727
Entity Type
Organization
Organization Name
Laura C. Randolph MD Sc
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Sep 19, 2007
Last Updated
Sep 19, 2007

Practice Location

Address
2502 E EMPIRE ST
Address 2
SUITE C
ZIP Code
61704-3738
Phone
(309) 664-6222

Authorized Official

Name
RITA DEMPSEY
Title
OFFICE MANAGER
Phone
(309) 664-6222

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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