Randolph S Lawrence MD a Medical Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

G32240 Issued in CA

Legal business name

RANDOLPH S LAWRENCE MD A MEDICAL CORP

Practice address

1320 Las Tablas Rd
Suite C
Templeton, CA 93465-9711

Phone

(805) 434-0811

Fax

(805) 434-3455

NPI assigned

Feb 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Patricia Romero Lawrence

Title

Office MGR. - Part Owner

Phone

(805) 434-0811

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1851697833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 LAS TABLAS RD",
            "address_2": "SUITE C",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659711",
            "telephone_number": "805-434-0811",
            "fax_number": "805-434-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 LAS TABLAS RD",
            "address_2": "SUITE C",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659711",
            "telephone_number": "805-434-0811",
            "fax_number": "805-434-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH S LAWRENCE MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ROMERO",
        "authorized_official_title_or_position": "OFFICE MGR. - PART OWNER",
        "authorized_official_telephone_number": "805-434-0811",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G32240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Pywtorak, RDN
• Radiology Associates of San Luis Obispo (Radiology Diagnostic Center)
• Radiology Associates of San Luis Obispo, a Medical Group Inc
• Jennefer Radojevic, L.AC., MSTOM
• Kaila Rall, CWC II
• Karim Rasheed, M.D.
• Michael Anthony Reburn, MD
• Cinnamon H Redd, MD
• Jason M Redd, MD
• Marcia C. Reiley, PT

• Specialist in Templeton, CA
• Providers in Templeton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.