PATRICK LACKMANN TRAYNOR

SOUTH LAKE TAHOE, CA
NPI1477236347
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  86082088)
Enumeration Date2023-08-08
Last Update Date2023-08-08
Business Address
Dr. PATRICK LACKMANN TRAYNOR RD
3079 HARRISON AVE
SOUTH LAKE TAHOE, CA 96150
Phone number: 909-653-3471
Mailing Address
Dr. PATRICK LACKMANN TRAYNOR RD
671 RIVER RANCH ROAD
MARKLEEVILLE, CA 96120
Phone number: 909-653-3471