Lowell Lynn Gardner, MD
Family Medicine in Meridian, ID. Individual provider (NPI-1).
NPI number1396777520
StatusActive
Last updated in NPPESMar 14, 2011
Details
- NPI
- 1396777520
- Entity type
- Individual (NPI-1)
- Name
- Lowell Lynn Gardner
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Mar 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M4765 | ID | Yes |
Practice location
520 S Eagle RdSuite 1241
Meridian, ID 83642-6351
Phone 208-288-2255
Mailing address
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-2222
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