Lavender, Randy Charles

Lavender, Randy Charles is an individual health care provider with primary practice located at 910 N 5Th St , Cordele GA 31015-3254. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Lavender, Randy Charles can be contacted via phone (229) 276-2286.

Contact Information

Primary practice address
910 N 5Th St Cordele GA 31015-3254
Phone: (229) 276-2286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME140940 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 93479 Georgia
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 328483 Louisiana
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 93479 Georgia

Profile Details

NPI number 1841637378
LBN Legal business name Lavender, Randy Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2013
Last updated Dec 5th, 2022 - about 3 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 1841637378 NPPES
Florida MEDICAID 754378

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