Holmgren, Leonard Peter

Holmgren, Leonard Peter is an individual health care provider with primary practice located at 2170 South Ave , S Lake Tahoe CA 96150-7026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Holmgren, Leonard Peter can be contacted via phone (530) 543-5850.

Contact Information

Primary practice address
2170 South Ave S Lake Tahoe CA 96150-7026
Phone: (530) 543-5850
Fax: (530) 542-9550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 9846 Nevada
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G86132 California

Profile Details

NPI number 1114906088
LBN Legal business name Holmgren, Leonard Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Aug 5th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114906088 NPPES
California MEDICAID 1114906088
California Other 300127929
California MEDICAID 1114906088
California Other 300127927

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