LAURA RANDOLPH D.O. NPI 1558666362

NPI Information

  • NPI: 1558666362
  • Provider Name: LAURA RANDOLPH, D.O.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1446 FERN CREEK DR
    STATESVILLE, NC
    ZIP 28625
  • Phone: (704) 873-9617

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NPI Details

Laura Randolph, D.O. is an obstetrics gynecology in Statesville, NC with 15 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Laura Randolph, D.O. NPI is 1558666362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2011

The provider's business location address is:

1446 FERN CREEK DR
STATESVILLE, NC
ZIP 28625-376
Phone: (704) 873-9617

The NPI 1558666362 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2011 and was last updated on 7/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology2020-00517NORTH CAROLINANo
2207V00000XObstetrics & Gynecology02004295AINDIANANo
3207V00000XObstetrics & Gynecology202000517NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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