Healthcare Provider Details

I. General information

NPI: 1528977451
Provider Name (Legal Business Name): LORRAINE ADAMS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 MAIN ST
SALMON ID
83467-4316
US

IV. Provider business mailing address

602 W CALLENDER ST
LIVINGSTON MT
59047-2524
US

V. Phone/Fax

Practice location:
  • Phone: 208-756-5666
  • Fax:
Mailing address:
  • Phone: 406-223-4788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1781427
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: