Randall, Lisa Marie

Randall, Lisa Marie is an sole proprietor health care provider with primary practice located at 970 County Route 56 , Potsdam NY 13676-3351. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Randall, Lisa Marie can be contacted via phone (315) 212-7817.

Contact Information

Primary practice address
970 County Route 56 Potsdam NY 13676-3351
Phone: (315) 212-7817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1285992164
LBN Legal business name Randall, Lisa Marie
Credentials CERT.TECH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2012
Last updated Nov 8th, 2012 - about 14 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 1285992164 NPPES
New York Other 1912269226 GROUP NPI

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