OrganizationActive
Lorraine Tangen M.D. PLLC
NPI 1457700395 · Clinic/Center · Jerome, ID
Provider details
- NPI number
- 1457700395
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lorraine Tangen, Physician(208) 324-6656
- License
- M 6344 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1100 N Lincoln Ave
Jerome, ID 83338-1856
Phone: (208) 324-6656
Approximate (ZIP-level) locationGet directions
Mailing address
1100 N Lincoln Ave
Jerome, ID 83338-1856
Registry dates
- Enumerated
- 2016-06-10
- Last updated
- 2016-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.