LORRAINE TANGEN M.D. PLLC

JEROME, ID
NPI1457700395
Entity TypeOrganization
Authorized ContactLORRAINE TANGEN
Physician
208-324-6656
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: ID  M 6344)
Enumeration Date2016-06-10
Last Update Date2016-06-10
Business Address
LORRAINE TANGEN M.D. PLLC
1100 N LINCOLN AVE
JEROME, ID 83338-1856
Phone number: 208-324-6656
Mailing Address
LORRAINE TANGEN M.D. PLLC
1100 N LINCOLN AVE
JEROME, ID 83338-1856
Phone number: 208-324-4825
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