Provider Demographics
NPI:1013061647
Name:LANKFORD, RANDALL JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:JAMES
Last Name:LANKFORD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5814 OLD BARN WAY
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-4654
Mailing Address - Country:US
Mailing Address - Phone:530-246-3620
Mailing Address - Fax:
Practice Address - Street 1:5814 OLD BARN WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-4654
Practice Address - Country:US
Practice Address - Phone:530-246-3620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9681207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine