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MS. LORI JEAN RANDOLPH LPN
NPI 1063684710
Licensed Practical Nurse in Newark, NY

Active since April 01, 2008
204 W MAPLE AVE, NEWARK, NY 14513(315) 573-8317 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lori Jean Randolph Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LORI JEAN RANDOLPH LPN (NPI 1063684710) is an individual licensed practical nurse in Newark, New York, licensed in New York (275742-1) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1063684710
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. LORI JEAN RANDOLPHCredential: LPN
Location Address204 W MAPLE AVENewark, NY 14513-2005
Mailing Address204 W Maple AveNewark, NY 14513-2005 · (315) 573-8317
Phone(315) 573-8317
Sole ProprietorYes
Enumeration DateApril 1, 2008
✔ NPI 1063684710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 275742-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
204 W MAPLE AVE, Newark, NY 14513
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Randolph's NPI number?

The NPI number for Lori Randolph is 1063684710. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Lori Randolph located?

Lori Randolph practices at 204 W Maple Ave, Newark, NY 14513. The listed phone number is (315) 573-8317.

What is Lori Randolph's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lori Randolph was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.