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Contact Information

LACONTE RANDLE, NURSE PRACTITIONER
1225 LAKEVIEW AVE
SAINT LOUIS, MO63138
 Phone: 314-813-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LACONTE RANDLE · (Female)

NPI Number 1518489186
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 07/14/2017
Last updated 07/14/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2017000766
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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