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

Lisa Randolph

Individual provider Family Nurse Practitioner · NPI 1114393279

Lisa Randolph is a Family Nurse Practitioner in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone: (805) 546-7600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95002336 (CA)

Record details

NPI number1114393279
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2015
Last updated in NPPESAugust 12, 2015

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