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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740249192 | NPPES |
| Utah | MEDICAID | 870326048001D1686 | |
| Utah | Other | 068010881 |
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