Individual
DR. RANDOLPH EWING LANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4064 JAMES MADISON HWY, FORK UNION, VA 23055
(434) 842-3244
(434) 842-1110
Mailing address
PO BOX 458, FORK UNION, VA 23055
(434) 842-3244
(434) 842-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101032081
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005615151
—
VA
Enumeration date
02/26/2007
Last updated
01/19/2010
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