1. Home
  2. Directory
  3. Maryland
  4. Glen Burnie
  5. Physician Assistant
  6. NPI Profile

LISA RANDOLPH PA-C
NPI 1447572466
Physician Assistant in Glen Burnie, MD

Active since February 17, 2010
408 CRAIN HWY S STE 7, GLEN BURNIE, MD 21061(410) 760-8400 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2025, Feb 28, 2019 (2 updates tracked since 2019).

About Lisa Randolph Pa-c NPPES

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

LISA RANDOLPH PA-C (NPI 1447572466) is an individual physician assistant in Glen Burnie, Maryland, licensed in Maryland (C0004116) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1447572466
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA RANDOLPHCredential: PA-C
Location Address408 CRAIN HWY S STE 7Glen Burnie, MD 21061-3661
Mailing Address408 Crain Hwy S Ste 7Glen Burnie, MD 21061-3661 · (410) 760-8499 · Fax (410) 760-9023
Phone(410) 760-8400
Sole ProprietorYes
Enumeration DateFebruary 17, 2010
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1447572466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C0004116
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
408 CRAIN HWY S STE 7, Glen Burnie, MD 21061
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BARBARA PIERRE PA-C
Internal Medicine (Endocrinology, Diabetes & Metabolism)
408 CRAIN HWY S STE 7
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-8400

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 Lisa Randolph's NPI number?

The NPI number for Lisa Randolph is 1447572466. It was assigned to this individual provider in the NPPES registry on February 17, 2010.

Where is Lisa Randolph located?

Lisa Randolph practices at 408 Crain Hwy S Ste 7, Glen Burnie, MD 21061. The listed phone number is (410) 760-8400.

What is Lisa Randolph's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Lisa Randolph was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.