Provider Demographics
NPI:1992444350
Name:THE DOCTOR IS IN LLC
Entity type:Organization
Organization Name:THE DOCTOR IS IN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LANDI
Authorized Official - Middle Name:F
Authorized Official - Last Name:LOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, CIME
Authorized Official - Phone:307-689-7380
Mailing Address - Street 1:1307 W 3RD ST STE A
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-3343
Mailing Address - Country:US
Mailing Address - Phone:307-670-8808
Mailing Address - Fax:307-670-8807
Practice Address - Street 1:1307 W 3RD ST STE A
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-3343
Practice Address - Country:US
Practice Address - Phone:307-670-8808
Practice Address - Fax:307-670-8807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical ExaminerGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty