Randell Craig Lussenden, CRNA is a
Nurse Anesthetist, Certified Registered based in Morris, Minnesota. Randell Craig Lussenden is licensed to practice in Minnesota (license number R0919104) and his current practice location is
400 East First Street, Morris, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 589-1313.
NPI number for Randell Craig Lussenden is 1396847638 and his current mailing address is Po Box 660, 400 East First Street, Morris, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396847638.
Provider's Profile
| Full Name | Randell Craig Lussenden |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 400 East First Street, Morris, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396847638
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 01/20/2023
Medical Identifiers
Medical identifiers for Randell Craig Lussenden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396847638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0919104 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randell Craig Lussenden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Randell Craig Lussenden, CRNA
Po Box 660, 400 East First Street,
Morris, MN 56267-0660
Ph: (320) 589-1313 | Randell Craig Lussenden, CRNA
400 East First Street,
Morris, MN 56267-0660
Ph: (320) 589-1313 |
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