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
- City
- Bloomington
- State
- Illinois
- 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 Specialty — Medical Specialty |
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