Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa M Randon MD LLC

Organization Pediatrics Physician · NPI 1699295659

Lisa M Randon MD LLC is a Pediatrics Physician in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3990 John R St
Detroit, MI 48201-2018
Phone: (313) 745-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6071 W Outer Dr, Detroit, MI 48235-2624 — (313) 745-5111

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301068207 (MI)

Record details

NPI number1699295659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Randon — Physician · (313) 608-1510
NPI enumeratedJune 21, 2017
Last updated in NPPESMarch 17, 2018
Mailing address1401 W Fort St Unit 442450, Detroit, MI 48244-3599

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