LISA RANDOLPH

SAN LUIS OBISPO, CA
NPI1114393279
Former NameLISA M ECKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  95002336)
Enumeration Date2015-08-12
Last Update Date2015-08-12
Business Address
LISA RANDOLPH
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405-1806
Phone number: 805-546-7600
Mailing Address
LISA RANDOLPH
4562 OBISPO RD
ATASCADERO, CA 93422-1531
Phone number:
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