Lisa M Randon Md Llc
Pediatrics
Lisa M Randon Md Llc is a Detroit, Michigan based Pediatric center with medical specialization in
General Pediatrics.
It is located at
3990 John R St, Detroit, Michigan - 48201-2018. They can be contacted on phone at
313-745-5111.
NPI number (Unique professional ID) for Lisa M Randon Md Llc is
1699295659 which was assigned by NPPES on 21 Jun, 2017 and it was last updated on 17 Mar, 2018.
Lisa M Randon Md Llc license number is
4301068207 for Pediatrics (208000000X) in Michigan.
Lisa M Randon Md Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lisa M Randon Md Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
---|
Provider Name : | Lisa M Randon Md Llc |
---|
Business Address:
Lisa M Randon Md Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 3990 John R St Detroit, MI, 48201-2018 United States |
---|
Phone Number : | 313-745-5111 |
---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1699295659 |
---|
NPI Entity Type : | Organization |
---|
First Enrolment Date : | 21 Jun, 2017 |
---|
Last Updated On : | 17 Mar, 2018 |
---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name : | Lisamarie Randon |
---|
Authorized Official Credential : | MD |
---|
Official Title or Position : | PHYSICIAN |
---|
Phone Number : | 313-608-1510 |
---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa M Randon Md Llc are as mentioned. Primary taxonomy code for Lisa M Randon Md Llc is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
---|
208000000X | Pediatrics | Yes | 4301068207 | MI |
Other Practice Locations:
Practice Address | City, State | Phone Number |
---|
6071 W OUTER DR, DETROIT, MI, 48235-2624 United States | DETROIT, MI | #31374551116091 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 1401 W Fort St Unit 442450 Detroit, MI, 48244-3599 United States |
---|
Phone Number : | 313-608-1510 |
---|
Fax Number : | 313-656-4056 |
---|
Business Location:
Patients can refer following map for directions to
Lisa M Randon Md Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.