Individual
LOWELL A SCHUKNECHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5352 HILL RD, BOISE, ID 83703-2944
(208) 343-6586
Mailing address
5352 HILL RD, BOISE, ID 83703-2944
(208) 343-6586
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
M-4488
ID
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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