Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAURA C RANDOLPH, M.D.
Active Sole ProprietorDR. LAURA C RANDOLPH, M.D. is a Plastic Surgery healthcare provider located in BLOOMINGTON, Illinois. NPI 1710906557 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1710906557
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2006 (19.928020526445 yrs)
- Last Updated
- Sep 12, 2013
- License
-
36-100030 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2502 E EMPIRE STSUITE CBLOOMINGTON, IL, 617043738Browse IL providers · Browse ZIP 61704
- Phone
- 3096646222
- Fax
- 3096645006
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY SCOTT POULTER | M.D. | 1174521074 |
| DR. OTIS GEORGE ALLEN | M.D. | 1306847900 |
| DR. PAIGE C. HOLT | MD | 1821026519 |
| DR. CHAD TATTINI | — | 1992721005 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.