Laura C Randolph in Bloomington - Plastic Surgery
Laura C Randolph - NPI 1710906557
Laura C Randolph is a Plastic Surgery in Bloomington, Illinois. Laura C Randolph practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Laura C Randolph is 1710906557. The last update date is 2013-09-12.
Laura C Randolph's current location address is 2502 E Empire St, Bloomington, Illinois. You can contact this provider via phone number 3096646222 and fax number 3096645006. The mailing address for Laura C Randolph is 2502 E Empire St, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura C Randolph |
|---|---|
| Address | 2502 E Empire St, Bloomington, Illinois |
| Phone Number | 3096646222 |
| Fax Number | 3096645006 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710906557 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2013-09-12 |
Provider Mailing Address Detail
| Address | 2502 E Empire St |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617043738 |
| Phone Number | 3096646222 |
| Fax Number | 3096645006 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 36-100030 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36100030 | IL | -- | |
| 97565 | IL | HEALTH ALLIANCE | |
| P00193845 | IL | RURAL MEDICARE | |
| 5732066 | IL | BLUE CROSS BLUE SHIELD | |
| 686867 | IL | HEALTH LINK |
Post Comment/ Review Below
What is the unique identifier code issued to Laura C Randolph by the Centers for Medicare & Medicaid Services?
The Laura C Randolph has been assigned the NPI (National Provider Identifier) 1710906557. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Laura C Randolph's facilities are geographically located?
The facilities of Laura C Randolph are physically situated at the following location: 2502 E Empire St, Bloomington, IL, 617043738.
What is Laura C Randolph's area of expertise and its corresponding taxonomy classification?
The Laura C Randolph's field of specialization is Plastic Surgery, and it falls under the taxonomy code 208200000X, which categorizes healthcare providers based on their areas of practice.
When did the Laura C Randolph receive its 1710906557?
The Laura C Randolph was issued its 1710906557 on 2006-07-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Laura C Randolph last refreshed?
The information related to the Laura C Randolph, including its address, specialty, and other relevant details, was last updated on 2013-09-12.
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