Individual
LAUREN K RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
94 OLD SHORT HILLS RD STE 1, LIVINGSTON, NJ 07039-5668
(973) 902-2956
Mailing address
255 E GRAND AVE APT 109, RAHWAY, NJ 07065-4564
(973) 902-2956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR15648200
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01076000
NJ
Other
Enumeration date
10/06/2020
Last updated
11/13/2020
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