DR. Laura C Randolph, M.D.

NPI #1710906557 in Bloomington, Illinois

Provider Information

NPI Number: 1710906557
Entity Type: Individual
Name: DR. Laura C Randolph, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Plastic Surgery
Credential: M.D.
Enumeration Date: Jul 19, 2006
Last Updated: Sep 12, 2013

Practice Location

Address: 2502 E EMPIRE ST
Address 2: SUITE C
City: Bloomington
State: Illinois
ZIP Code: 61704-3738
Phone: (309) 664-6222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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Organizations

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