Individual
ELIZABETH C. WHITE-RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
76 HIGH ST, LEWISTON, ME 04240-7649
(207) 795-2800
(207) 795-2808
Mailing address
76 HIGH ST, PO BOX 819, LEWISTON, ME 04240-7649
(207) 795-2800
(207) 795-2808
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
012395
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213170099
—
ME
Enumeration date
07/31/2006
Last updated
02/14/2014
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