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

Lori A Leaseburge, MD

Individual provider Obstetrics Physician · NPI 1275628455

Lori A Leaseburge, MD is an Obstetrics/Gynecology in Jacksonville, Florida. Graduated from Jc Edwards School of Medicine, Marshall University in 1997, 29 years ago. Practices with Cleveland W. Randolph, Jr, MD, PA, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
29
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1891 Beach Blvd Ste 200
Jacksonville, FL 32250-2644
Phone: (904) 249-3743
Fax: (904) 249-2047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics Physician (primary) Taxonomy 207VX0000X · Licence ME93918 (FL)

Record details

NPI number1275628455
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESNovember 1, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 1997 (29 years in practice)
Group practice Cleveland W. Randolph, Jr, Md, Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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