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Dr. Laura C Randolph, MD
Plastic Surgery Physician in Bloomington, Illinois
NPI 1710906557

Laura C Randolph is a Plastic Surgery Physician based in Bloomington, IL. Laura C Randolph practices in Bloomington, IL and has the professional credentials of MD. The NPI Number for Laura C Randolph is 1710906557 and holds a License No. 36-100030 (Illinois).

The current practice location address for Laura C Randolph is 2502 E Empire St, Bloomington, IL and can be reached out via phone at 309-664-6222 and via fax at 309-664-5006. You can also correspond with Laura C Randolph through the mailing address at 2502 E EMPIRE ST, BLOOMINGTON, IL - 61704-3738 (mailing address contact number: 309-664-6222).

Location: 2502 E Empire St, Bloomington, IL, 61704-3738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710906557
Provider Name
Laura C Randolph
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2502 E Empire St, Bloomington, IL, 61704-3738
Phone Number
309-664-6222
Fax Number
309-664-5006
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036100030 05 IL
097565 01 IL HEALTH ALLIANCE
P00193845 01 IL RURAL MEDICARE
5732066 01 IL BLUE CROSS BLUE SHIELD
686867 01 IL HEALTH LINK
institution
Provider Business Practice Location Address Details
Address
2502 E Empire St
City
Bloomington
State
Illinois
Zip
61704-3738
Phone Number
309-664-6222
Fax Number
309-664-5006
person
Provider Business Mailing Address Details
Address
2502 E Empire St
City
Bloomington
State
Illinois
Zip
61704-3738
Phone Number
309-664-6222
Fax Number
309-664-5006
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
36-100030 (Illinois)
Definition
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 both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
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