Randolph, Lisa

Randolph, Lisa is an individual health care provider with primary practice located at 1010 Murray Ave , San Luis Obispo CA 93405-1806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Randolph, Lisa can be contacted via phone (805) 546-7600.

Contact Information

Primary practice address
1010 Murray Ave San Luis Obispo CA 93405-1806
Phone: (805) 546-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95002336 California

Profile Details

NPI number 1114393279
LBN Legal business name Randolph, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2015
Last updated Aug 12th, 2015 - about 11 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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