Lorraine Tangen M.d. Pllc

NPI #1457700395 in Jerome, Idaho

Provider Information

NPI Number
1457700395
Entity Type
Organization
Organization Name
Lorraine Tangen M.d. Pllc
Primary Specialty
Clinic/Center
Enumeration Date
Jun 10, 2016
Last Updated
Jun 10, 2016

Practice Location

Address
1100 N LINCOLN AVE
City
Jerome
State
Idaho
ZIP Code
83338-1856
Phone
(208) 324-6656

Authorized Official

Name
LORRAINE TANGEN, M.D.
Title
PHYSICIAN
Phone
(208) 324-6656

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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