Lussenden, Ryan R

Lussenden, Ryan R is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lussenden, Ryan R can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Phone: (218) 786-8364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME113403 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X A105216 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 247573 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 49793 Minnesota

Profile Details

NPI number 1649482910
LBN Legal business name Lussenden, Ryan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Apr 1st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649482910 NPPES
Minnesota MEDICAID 539182000

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