Individual provider · Type 1 NPI
Leonard Peter Holmgren, MD
Diagnostic Radiology Physician · South Lake Tahoe, CA
NPI number
1114906088
Active
Practice location
2170 South Ave
South Lake Tahoe, CA 96150-7026
Fax (530) 542-9550
Mailing address
PO Box 19879
Reno, NV 89511-2533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 9846 (NV) |
| Diagnostic Radiology Physician Primary | 2085R0202X | G86132 (CA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1114906088
Leonard Peter Holmgren, MD's National Provider Identifier is 1114906088, issued on Jan 10, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Aug 5, 2014.