Pearson, Randolph Lester

Pearson, Randolph Lester is an individual health care provider with primary practice located at 1200 E Michigan Ave Ste 245 , Lansing MI 48912-1897. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pearson, Randolph Lester can be contacted via phone (517) 364-5710.

Contact Information

Primary practice address
1200 E Michigan Ave Ste 245 Lansing MI 48912-1897
Phone: (517) 364-5710
Fax: (517) 364-5718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301045048 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 4301045048 Michigan

Profile Details

NPI number 1770687998
LBN Legal business name Pearson, Randolph Lester
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Dec 15th, 2009 - 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 1770687998 NPPES
Michigan MEDICAID 4255429

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