Randall, Lakeidria

Randall, Lakeidria is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste. 301, Baton Rouge LA 70808-4300. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Randall, Lakeidria can be contacted via phone (214) 592-2957.

Contact Information

Primary practice address
7777 Hennessy Blvd Ste. 301 Baton Rouge LA 70808-4300
Phone: (214) 592-2957
Fax: (225) 214-6437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 112518 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP07633 Louisiana

Profile Details

NPI number 1245562800
LBN Legal business name Randall, Lakeidria
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2010
Last updated Sep 22nd, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245562800 NPPES
Louisiana MEDICAID 2353403

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