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LORRAINE TANGEN M.D. PLLC NPI 1457700395


NPI Information

NPI: 1457700395
Provider Name: LORRAINE TANGEN M.D. PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1100 N LINCOLN AVE
JEROME, ID
ZIP 83338
Phone: (208) 324-6656
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LORRAINE TANGEN M.D. PLLC is a clinic center in Jerome, ID. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LORRAINE TANGEN M.D. PLLC NPI is 1457700395. The provider is registered as an organization entity type.

The provider's business location address is:

1100 N LINCOLN AVE
JEROME, ID
ZIP 83338-856
Phone: (208) 324-6656

The provider's authorized official is Lorraine Tangen .
The authorized official title is Physician and has the following contact phone number (208) 324-6656.

The enumeration date for this NPI number is 6/10/2016 and was last updated on 6/10/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterM 6344IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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