Individual
DR. RANDY J LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
907 MAIN ST, THOMPSON FALLS, MT 59873
(406) 827-4307
(406) 827-9514
Mailing address
PO BOX 969, THOMPSON FALLS, MT 59873-0969
(406) 827-4307
(406) 827-9514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6022
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000093800
BC & BS
MT
05
—
0056238
—
MT
01
—
38520
TRIWEST
—
Enumeration date
07/20/2006
Last updated
05/04/2009
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