Individual
DR. ROZALYNDE ANNE RANDOLPH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14064 W MAIN ST, CUT OFF, LA 70345-3060
(985) 693-1500
(985) 693-8880
Mailing address
14064 W MAIN ST, CUT OFF, LA 70345-3060
(985) 693-1500
(985) 693-8880
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
19946
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1681601
—
LA
Enumeration date
03/28/2006
Last updated
07/08/2007
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