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LORRAINE TANGEN M.D. PLLC

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Company Details

Name: LORRAINE TANGEN M.D. PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 01 Oct 2015 (10 years ago)
Financial Date End: 31 Oct 2018
Date dissolved: 10 Jan 2019
Entity Number: 476485
Place of Formation: IDAHO
File Number: 476485
ZIP code: 83338
County: Jerome County
Principal Address: 1100 NORTH LINCOLN AVE JEROME, ID 83338

Agent

Name Role Address
DR LORRAINE TANGEN Agent 1100 NORTH LINCOLN AVE, JEROME, ID 83338

National Provider Identifier

NPI Number:
1457700395

Authorized Person:

Name:
LORRAINE TANGEN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003393096 2019-01-10
Annual Report 0002992276 2017-12-11
Annual Report 0002992275 2016-12-05
Initial Filing 0000476485 2015-10-01

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State