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1396777520
LOWELL LYNN GARDNER
MERIDIAN, ID
NPI
1396777520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M4765)
Enumeration Date
2006-07-07
Last Update Date
2011-03-14
Business Address
-- LOWELL LYNN GARDNER MD
520 S EAGLE RD SUITE 1241
MERIDIAN, ID 83642-6351
Phone number: 208-288-2255
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Mailing Address
-- LOWELL LYNN GARDNER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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