| NPI | 1992444350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDI F LOWELL Owner And Provider 307-689-7380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 202C00000X Independent Medical Examiner | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |