Individual
RANDELL CRAIG LUSSENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 EAST FIRST STREET, MORRIS, MN 56267-0660
(320) 589-1313
(320) 589-3533
Mailing address
PO BOX 660, 400 EAST FIRST STREET, MORRIS, MN 56267-0660
(320) 589-1313
(320) 589-3533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0919104
MN
Other
Enumeration date
09/05/2006
Last updated
01/20/2023
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