# RANDY J. LOVELL, DO, II, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jack Lincoln Memorial Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811371917
- **Authorized official:** RANDY J LOVELL DO (OFFICE MANAGER)
- **Authorized official phone:** (406) 827-4307

## Contact information

- **Practice address:** 341 HWY135, SAINT REGIS, MT 59866-0176
- **Practice address phone:** (406) 827-4307
- **Practice address fax:** (406) 827-9514
- **Mailing address:** PO BOX 176, SAINT REGIS, MT 59866-0176
- **Mailing address phone:** (406) 827-4307
- **Mailing address fax:** (406) 827-9514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2015
- **Last updated:** 06/19/2017