institution
Lorraine Tangen M.d. Pllc
Clinic/Center in Jerome, Idaho
NPI 1457700395

Lorraine Tangen M.d. Pllc is a Clinic/Center based in Jerome, ID. Lorraine Tangen M.d. Pllc practices in Jerome, ID. The NPI Number for Lorraine Tangen M.d. Pllc is 1457700395 and holds a License No. M 6344 (Idaho).

The current practice location address for Lorraine Tangen M.d. Pllc is 1100 N Lincoln Ave, Jerome, ID and can be reached out via phone at 208-324-6656.

Location: 1100 N Lincoln Ave, Jerome, ID, 83338-1856
institution
Provider Profile Details
NPI Number
1457700395
Provider Name
Lorraine Tangen M.d. Pllc
Credential
Provider Entity Type
Organization
Address
1100 N Lincoln Ave, Jerome, ID, 83338-1856
Phone Number
208-324-6656
Fax Number
Provider Enumeration Date
06/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 N Lincoln Ave
City
State
Zip
83338-1856
Phone Number
208-324-6656
Fax Number
person
Provider Business Mailing Address Details
Address
1100 N Lincoln Ave
City
State
Zip
83338-1856
Phone Number
208-324-6656
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
M 6344 (Idaho)
Definition
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).
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