Individual
LYNN THOMAS RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 229-3864
Mailing address
7540 ASPEN CV S, COTTAGE GROVE, MN 55016-4641
(651) 231-9998
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1030
MN
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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