Randall, Lisa Marie
Randall, Lisa Marie is an sole proprietor health care provider with primary practice located at 970 County Route 56 , Potsdam NY 13676-3351. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Randall, Lisa Marie can be contacted via phone (315) 212-7817.Contact Information
Primary practice address
970 County Route 56
Potsdam NY 13676-3351
Phone: (315) 212-7817
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X |
Profile Details
NPI number | 1285992164 |
---|---|
LBN Legal business name | Randall, Lisa Marie |
Credentials | CERT.TECH |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 27th, 2012 |
Last updated | Nov 8th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285992164 | NPPES |
New York | Other | 1912269226 | GROUP NPI |
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