Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lorraine Tangen MD PLLC

Organization Clinic/Center · NPI 1457700395

Lorraine Tangen MD PLLC is a Clinic/Center in Jerome, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 N Lincoln Ave
Jerome, ID 83338-1856
Phone: (208) 324-6656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence M 6344 (ID)

Record details

NPI number1457700395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorraine Tangen — Physician · (208) 324-6656
NPI enumeratedJune 10, 2016
Last updated in NPPESJune 10, 2016
Mailing address1100 N Lincoln Ave, Jerome, ID 83338-1856

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