# PARAGOND LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093446718
- **Authorized official:** MEGAN LANE PA-C (OWNER/PROVIDER)
- **Authorized official phone:** (208) 789-0220

## Contact information

- **Practice address:** 3715 E OVERLAND RD STE 120, MERIDIAN, ID 83642-8301
- **Practice address phone:** (208) 789-0220
- **Practice address fax:** (208) 789-0047
- **Mailing address:** 3715 E OVERLAND RD STE 120, MERIDIAN, ID 83642-8301
- **Mailing address phone:** (087) 890-2202
- **Mailing address fax:** (205) 789-0047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2022
- **Last updated:** 03/20/2023
