Individual
PEGGY RANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
224 S 2ND ST, MEDFORD, WI 54451-1811
(715) 748-1472
Mailing address
224 S 2ND ST, MEDFORD, WI 54451-1811
(715) 748-1472
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310475-31
WI
Other
Enumeration date
07/11/2012
Last updated
07/10/2026
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