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 |
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| 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 |
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| 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 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 21 Jun, 2017 |
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| Last Updated On : | 17 Mar, 2018 |
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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 |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PHYSICIAN |
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| Phone Number : | 313-608-1510 |
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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 |
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| Phone Number : | 313-608-1510 |
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| Fax Number : | 313-656-4056 |
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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. Last updated on 08 January, 2024.