# RANDY J LOVELL DO PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAIN STREET MEDICAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447314174
- **Authorized official:** WANDA K LARSEN (OFFICE MANAGER)
- **Authorized official phone:** (406) 827-4307

## Contact information

- **Practice address:** 907 MAIN STREET, THOMPSON FALLS, MT 59873-0969
- **Practice address phone:** (406) 827-4307
- **Mailing address:** PO BOX 969, THOMPSON FALLS, MT 59873-0969
- **Mailing address phone:** (406) 827-4307
- **Mailing address fax:** (406) 827-9514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 6022 | MT | — |
| 363L00000X | Nurse Practitioner | 439 | MT | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 09/11/2025