Randolph, Todd Lenwell

Randolph, Todd Lenwell is an individual health care provider with primary practice located at 5100 Talley Rd Ste 300 , Little Rock AR 72204-8040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Randolph, Todd Lenwell can be contacted via phone (501) 500-6640.

Contact Information

Primary practice address
5100 Talley Rd Ste 300 Little Rock AR 72204-8040
Phone: (501) 500-6640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 318197-1205 Utah
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01082681A Indiana
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 318197-1205 Utah
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 01082681A Indiana
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X E15550 Arkansas

Profile Details

NPI number 1740249192
LBN Legal business name Randolph, Todd Lenwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jan 23rd, 2024 - about 8 months 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 1740249192 NPPES
Utah MEDICAID 870326048001D1686
Utah Other 068010881

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