DR. RANDI LASSITER, M.D.

Surgery - Pediatric Surgery

Active Individual
NPI: 1619239613

Practice Address

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Phone: (612) 626-4214

Specialties

Specialty Code Primary License
Surgery 208600000X No BM6733807-Q141 (GA)
Student in an Organized Health Care Education/Training Program 390200000X No ME140972 (FL)
Surgery - Pediatric Surgery 2086S0120X Yes 70005 (MN)

Frequently Asked Questions

NPI 1619239613 is the National Provider Identifier for DR. RANDI LASSITER, M.D., a Surgery - Pediatric Surgery provider located in Minneapolis, MN. This NPI was enumerated on June 14, 2012.
DR. RANDI LASSITER, M.D. practices at 2450 RIVERSIDE AVE, Minneapolis, MN 55454.

Quick Facts

NPI
1619239613
Type
Individual
Enumerated
Jun 14, 2012
Last Updated
Sep 28, 2021

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