Individual
STEPHANIE LYNN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6911 VAN DORN ST, SUITE 2, LINCOLN, NE 68506-6801
(402) 489-4186
(402) 489-5279
Mailing address
6911 VAN DORN ST, SUITE 2, LINCOLN, NE 68506-6801
(402) 616-9144
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23381
NE
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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