Organization · Type 2 NPI
Lorraine Tangen M.d. PLLC
Clinic/Center · Jerome, ID
NPI number
1457700395
Active
Practice location
1100 N Lincoln Ave
Jerome, ID 83338-1856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | M 6344 (ID) |
Clinic/Center: 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).
3 other providers at this address
Other clinic/center providers in Jerome
About NPI 1457700395
Lorraine Tangen M.d. PLLC's National Provider Identifier is 1457700395, issued on Jun 10, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Jerome, ID. The record was last updated on Jun 10, 2016.