Mrs. Lisa Marie Randon
M.D. | Pediatrics | Female
Mrs. Lisa Marie Randon, M.D. is a Detroit, Michigan based Pediatric doctor with medical specialization in
General Pediatrics. Mrs. Lisa Marie Randon is also known as
Lisa Marie Harrell.
Current practice location of Mrs. Lisa Marie Randon is
2395 W Grand Blvd, Detroit, Michigan - 48208-1210. She can be contacted on phone at
313-831-2442 and fax number 313-831-2442.
Mrs. Lisa Marie Randon is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Lisa Marie Randon is
1316088644 which was assigned by NPPES on 09 Feb, 2007 and it was last updated on 14 Feb, 2017.
Mrs. Lisa Marie Randon license number is
4301068207 for Pediatrics (208000000X) in Michigan.
Mrs. Lisa Marie Randon 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:
Mrs. Lisa Marie Randon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Lisa Marie Randon |
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| Other Name : | Lisa Marie Harrell |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mrs. Lisa Marie Randon 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 : | 2395 W Grand Blvd
Detroit, MI, 48208-1210
United States |
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| Phone Number : | 313-831-2442 |
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| Fax Number : | 313-831-2442 |
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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 : | 1316088644 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Feb, 2007 |
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| Last Updated On : | 14 Feb, 2017 |
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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 Mrs. Lisa Marie Randon are as mentioned. Primary taxonomy code for Mrs. Lisa Marie Randon, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301068207 | MI |
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 : | 1511 Brooklyn St
Detroit, MI, 48226-1007
United States |
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| Phone Number : | 313-608-1510 |
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Business Location:
Patients can refer following map for directions to
Mrs. Lisa Marie Randon 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.