Laura C. Randolph MD SC
Laura C. Randolph MD SC is a Medical Specialty Clinic/Center in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
2502 E Empire St Ste CBloomington, IL 61704-3738
Phone: (309) 664-6222
Fax: (309) 664-5006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 36100030 (IL) |
|---|
Record details
| NPI number | 1255527727 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rita Dempsey — Office Manager · (309) 664-6222 |
| NPI enumerated | September 19, 2007 |
| Last updated in NPPES | September 19, 2007 |
| Mailing address | 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 |
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