National Provider Identifier
Lori Jean Randolph, LPN
Lori Jean Randolph, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (315) 573-8317.
Profile Overview
- NPI
- 1063684710
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 01, 2008
- Last Updated
- April 01, 2008
Practice Location
- 204 W Maple Ave
- Newark, NY 14513-2005
Phone: (315) 573-8317
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1063684710
- Entity Type
- Individual
- Last Name
- Randolph
- First Name
- Lori
- Middle Name
- Jean
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 204 W Maple Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-2005
- Mailing Country
- US
- Mailing Phone
- (315) 573-8317
- Practice Street Address
- 204 W Maple Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-2005
- Practice Country
- US
- Practice Phone
- (315) 573-8317
- Enumeration Date
- April 01, 2008
- Last Updated
- April 01, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)