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Individual

MR. RANDY EDWARD LOWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
671 E RIVERPARK LANE, STE 110, BOISE, ID 83706
(208) 387-0900
(208) 345-5883
Mailing address
671 E RIVERPARK LANE, STE 110, BOISE, ID 83706
(208) 387-0900
(208) 345-5883

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
P-142
ID
213EP1101X
Primary Podiatric Medicine Podiatrist
P1423
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002725800
ID
Enumeration date
12/31/2007
Last updated
10/17/2023
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