Individual provider · Type 1 NPI

Laura C. Randolph, MD

Plastic Surgery Physician · Bloomington, IL

NPI number 1710906557 Active

Practice location

2502 E Empire St, Suite C
Bloomington, IL 61704-3738

Call (309) 664-6222 Map

Fax (309) 664-5006

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000X36-100030 (IL)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1710906557

Laura C. Randolph, MD's National Provider Identifier is 1710906557, issued on Jul 19, 2006. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Bloomington, IL. The record was last updated on Sep 12, 2013.