Individual
DR. LEONARD PETER HOLMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2170 SOUTH AVE, S LAKE TAHOE, CA 96150-7026
(530) 543-5850
(530) 542-9550
Mailing address
PO BOX 19879, RENO, NV 89511-2533
(888) 480-6640
(775) 852-6902
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
9846
NV
2085R0202X
Diagnostic Radiology Physician
Primary
G86132
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114906088
—
CA
05
—
1114906088
—
NV
01
—
300127927
RAILROAD MEDICARE
NV
01
—
300127929
RAILROAD MEDICARE
CA
Enumeration date
01/10/2006
Last updated
08/05/2014
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