Randall, Robert Lawrence

Randall, Robert Lawrence is an individual health care provider with primary practice located at 4860 Y St Ste 1700 , Sacramento CA 95817. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Randall, Robert Lawrence can be contacted via phone (916) 734-3398.

Contact Information

Primary practice address
4860 Y St Ste 1700 Sacramento CA 95817
Phone: (916) 734-3398
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 360087-1205 Utah
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 360087-1205 Utah
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X G78312 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G78312 California

Profile Details

NPI number 1073566717
LBN Legal business name Randall, Robert Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Sep 5th, 2018 - about 6 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 1073566717 NPPES
Utah MEDICAID D2579

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