| Lynn Thomas Randall, CRNA | |
|
200 University Ave E, Saint Paul, MN 55101-2507 | |
| (651) 229-3864 | |
| Not Available |
| Full Name | Lynn Thomas Randall |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 200 University Ave E, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528710977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1030 (Minnesota) | Primary |
| Entity Name | Gillette Childrens Specialty Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Thomas Randall, CRNA 7540 Aspen Cv S, Cottage Grove, MN 55016-4641 Ph: (651) 231-9998 | Lynn Thomas Randall, CRNA 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 229-3864 |
Melanie A Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Molly Cubinski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 | |
Caitlyn Sarah Lapres, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-265-1254 | |
Dale H Mchugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Robert P Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Diane K Voelker-huhn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Nicole R Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 |