Laura Randolph, M.D.
NPI 1710906557 · Plastic Surgery Physician · Bloomington, IL
Laura Randolph, M.D. is a Plastic Surgery Physician provider in Bloomington, IL (NPI 1710906557).
Provider details
- NPI number
- 1710906557
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 36-100030 (IL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2013-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.