Randall, Lisa Marie

Randall, Lisa Marie is an individual health care provider with primary practice located at 351 Cypress Creek Rd Suite 100, Cedar Park TX 78613-4528. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Randall, Lisa Marie can be contacted via phone (512) 426-3627.

Contact Information

Primary practice address
351 Cypress Creek Rd Suite 100 Cedar Park TX 78613-4528
Phone: (512) 426-3627
Fax: (512) 328-7488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 710385 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP116205 Texas

Profile Details

NPI number 1114229945
LBN Legal business name Randall, Lisa Marie
Credentials RN, ACNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2010
Last updated Apr 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114229945 NPPES
Texas MEDICAID 314104601

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