Lonnie Tanenberg
NPI #1104213602 in San Anselmo, California
Provider Information
- NPI Number
- 1104213602
- Entity Type
- Individual
- Name
- Lonnie Tanenberg
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Apr 22, 2015
- Last Updated
- Apr 22, 2015
Practice Location
- Address
- 1516 SAN ANSELMO AVE
- Address 2
- APT B
- City
- San Anselmo
- State
- California
- ZIP Code
- 94960-1863
- Phone
- (415) 685-4493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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