Healthcare Provider Details

I. General information

NPI: 1992444350
Provider Name (Legal Business Name): THE DOCTOR IS IN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 06/02/2022
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 W 3RD ST STE A
GILLETTE WY
82716-3343
US

IV. Provider business mailing address

1307 W 3RD ST STE A
GILLETTE WY
82716-3343
US

V. Phone/Fax

Practice location:
  • Phone: 307-670-8808
  • Fax: 307-670-8807
Mailing address:
  • Phone: 307-670-8808
  • Fax: 307-670-8807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LANDI F LOWELL
Title or Position: OWNER AND PROVIDER
Credential: MD, CIME
Phone: 307-689-7380