| Dr Patrick Lackmann Traynor, RD | |
|
3079 Harrison Ave, South Lake Tahoe, CA 96150 | |
| (909) 653-3471 | |
| (949) 269-0134 |
| Full Name | Dr Patrick Lackmann Traynor |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 7 Years |
| Location | 3079 Harrison Ave, South Lake Tahoe, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477236347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86082088 (California) | Primary |
| Provider Name | Mnt Scientific |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588347462 PECOS PAC ID: 4486003530 Enrollment ID: O20231214001005 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick Lackmann Traynor, RD 671 River Ranch Road, Markleeville, CA 96120 Ph: (909) 653-3471 | Dr Patrick Lackmann Traynor, RD 3079 Harrison Ave, South Lake Tahoe, CA 96150 Ph: (909) 653-3471 |
Pollyanne Ertis, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 880 Tahoe Island Dr, South Lake Tahoe, CA 96150 Phone: 530-514-1069 |
Eat Beyond Labels Inc Dietitian Medicare: Medicare Enrolled Practice Location: 3079 Harrison Ave Ste 12, South Lake Tahoe, CA 96150 Phone: 530-314-8870 Fax: 530-314-8972 |
Amber Wilson, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3072 Sourdough Trl, South Lake Tahoe, CA 96150 Phone: 530-600-0657 |
Lynn Dorothy Norton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5824 Fax: 530-543-5821 |
Christy Walowit, Dietitian Medicare: May Accept Medicare Assignments Practice Location: 3079 Harrison Ave Ste 12, South Lake Tahoe, CA 96150 Phone: 530-314-8870 Fax: 530-314-8972 |
Nicole Karetov, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 759 San Jose Ave, South Lake Tahoe, CA 96150 Phone: 530-416-1684 |
Mrs. Mary Kristine Travis, MS RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 896 Sagewood Dr., South Lake Tahoe, CA 96150 Phone: 352-570-6279 Fax: 775-336-3345 |