OrganizationActive
Lisa M Randon MD LLC
NPI 1699295659 · Pediatrics Physician · Detroit, MI
Lisa M Randon MD LLC is a Pediatrics Physician organization in Detroit, MI (NPI 1699295659).
Provider details
- NPI number
- 1699295659
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Randon, Physician(313) 608-1510
- License
- 4301068207 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3990 John R St
Detroit, MI 48201-2018
Phone: (313) 745-5111
Street-level locationGet directions
Mailing address
1401 W Fort St Unit 442450
Detroit, MI 48244-3599
Additional practice locations (1)
- 6071 W Outer DrDetroit, MI 48235-2624Phone: (313) 745-5111
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2018-03-17
Frequently asked questions
- What is Lisa M Randon MD LLC's NPI number?
- Lisa M Randon MD LLC's National Provider Identifier (NPI) is 1699295659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lisa M Randon MD LLC?
- Lisa M Randon MD LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lisa M Randon MD LLC located?
- Lisa M Randon MD LLC's practice location on file with NPPES is 3990 John R St, Detroit, MI 48201-2018.
- What is Lisa M Randon MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Lisa M Randon MD LLC is (313) 745-5111.
- Who is the authorized official for Lisa M Randon MD LLC?
- The authorized official listed on Lisa M Randon MD LLC's NPPES record is Lisa Randon, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lisa M Randon MD LLC's NPI active?
- Yes — Lisa M Randon MD LLC's NPI (1699295659) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.