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Contact Information

RANDY E LOWE, DPM
671 E RIVERPARK LANE
STE 110
BOISE, ID83706
 Phone: 208-387-0900
 Fax: 208-345-5883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RANDY E LOWE · (Male)

NPI # 1801071550
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 12/31/2007
Last updated 10/17/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # P-142
  • ID License # P1423
  • ID Medicaid 002725800
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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