Lorraine Tangen M.D. PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

M 6344 Issued in ID

Legal business name

LORRAINE TANGEN M.D. PLLC

Practice address

1100 N Lincoln Ave
Jerome, ID 83338-1856

Phone

(208) 324-6656

NPI assigned

Jun 10, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lorraine Tangen, M.D.

Title

Physician

Phone

(208) 324-6656

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1457700395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N LINCOLN AVE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381856",
            "telephone_number": "208-324-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N LINCOLN AVE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381856",
            "telephone_number": "208-324-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE TANGEN M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "TANGEN",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-324-6656",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "M 6344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Emery Lally, M.D.
• Sally Jo Leyse, LCPC
• Veronica Loaeza Lopez
• James D. Lohmann, M.D.
• Lon M. Egbert, P.C. (Jerome Physical Therapy & Sports Medicine Clinic)
• M. Lonnette Luper, MS, CCC-SLP
• Magic Valley ABA Therapy LLC (Magic Valley ABA Therapy)
• Magic Valley Midwifery, LLC
• Christa A Mahler, BCBA
• Chandi Delyn Marston, LMSW

• Clinic/Center in Jerome, ID
• Providers in Jerome, ID by specialty
• Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.