Individual
MS. LAUREN BROOKE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
12902 MAGNOLIA DRIVE, ANESTHESIA; MOFFITT CANCER CENTER, TAMPA, FL 36612
(813) 754-8750
Mailing address
15605 HAMPTON VILLAGE DR, TAMPA, FL 33618-1616
(724) 544-8684
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
004122
GA
367H00000X
Anesthesiologist Assistant
Primary
AA-8
FL
Other
Enumeration date
06/15/2006
Last updated
11/06/2018
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