Lake Tahoe Orthopaedic Institute
NPI #1164671798 in Incline Village, Nevada
Provider Information
- NPI Number
- 1164671798
- Entity Type
- Organization
- Organization Name
- Lake Tahoe Orthopaedic Institute
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 18, 2008
- Last Updated
- Sep 19, 2012
Practice Location
- Address
- 925 TAHOE BLVD STE 105
- City
- Incline Village
- State
- Nevada
- ZIP Code
- 89451-7498
- Phone
- (775) 580-7600
Authorized Official
- Name
- DR. STEPHEN M BANNAR, MD
- Title
- PRESIDENT
- Phone
- (530) 541-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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