Randolph, Lisa
Randolph, Lisa is an individual health care provider with primary practice located at 8576 Veterans Memorial Pkwy , O Fallon MO 63366-3080. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Randolph, Lisa can be contacted via phone (314) 968-2216.Contact Information
Primary practice address
8576 Veterans Memorial Pkwy
O Fallon MO 63366-3080
Phone: (314) 968-2216
Fax: (314) 968-2335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2015045055 | Missouri |
Profile Details
| NPI number | 1811445729 |
|---|---|
| LBN Legal business name | Randolph, Lisa |
| Credentials | PLPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2016 |
| Last updated | Sep 20th, 2016 - about 10 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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