Organization
RANDY J LOVELL DO PC
Active
Other names
MAIN STREET MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA K LARSEN (OFFICE MANAGER)
(406) 827-4307
Entity
Organization
Contact information
Practice address
907 MAIN STREET, THOMPSON FALLS, MT 59873-0969
(406) 827-4307
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
6022
MT
363L00000X
Nurse Practitioner
Primary
439
MT
Other
Enumeration date
12/20/2006
Last updated
09/11/2025
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