Lowe, Randy Edward

Lowe, Randy Edward is an sole proprietor health care provider with primary practice located at 671 E Riverpark Lane Ste 110, Boise ID 83706. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Lowe, Randy Edward can be contacted via phone (208) 387-0900.

Contact Information

Primary practice address
671 E Riverpark Lane Ste 110 Boise ID 83706
Phone: (208) 387-0900
Fax: (208) 345-5883
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X P1423 Idaho
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X P-142 Idaho

Profile Details

NPI number 1801071550
LBN Legal business name Lowe, Randy Edward
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2007
Last updated Oct 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801071550 NPPES
Idaho MEDICAID 002725800

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