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Individual

DR. RANDI LEIGH SESSOMS LASSITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 626-4214
(612) 624-6969
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 626-4214
(612) 624-6969

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BM6733807-Q141
GA
2086S0120X
Pediatric Surgery Physician
Primary
70005
MN
390200000X
Student in an Organized Health Care Education/Training Program
184335
NC
390200000X
Student in an Organized Health Care Education/Training Program
ME140972
FL

Other

Enumeration date
06/14/2012
Last updated
09/28/2021
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