Lanford, Randolph Ewing

Lanford, Randolph Ewing is an sole proprietor health care provider with primary practice located at 4064 James Madison Hwy , Fork Union VA 23055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lanford, Randolph Ewing can be contacted via phone (434) 842-3244.

Contact Information

Primary practice address
4064 James Madison Hwy Fork Union VA 23055
Fax: (434) 842-1110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101032081 Virginia

Profile Details

NPI number 1720114226
LBN Legal business name Lanford, Randolph Ewing
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jan 19th, 2010 - about 15 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 1720114226 NPPES
Virginia MEDICAID 005615151

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