Individual provider · Type 1 NPI

Lori Jean Randolph, LPN

Licensed Practical Nurse · Newark, NY

NPI number 1063684710 Active

Practice location

204 W Maple Ave
Newark, NY 14513-2005

Call (315) 573-8317 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X275742-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1063684710

Lori Jean Randolph, LPN's National Provider Identifier is 1063684710, issued on Apr 1, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Newark, NY. The record was last updated on Apr 1, 2008.