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Contact Information

PATRICK L TRAYNOR, RD
3079 HARRISON AVE
SOUTH LAKE TAHOE, CA96150
 Phone: 909-653-3471
 Fax: 949-269-0134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for PATRICK L TRAYNOR · (Male)

NPI Number 1477236347
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 08/08/2023
Last updated 08/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 86082088
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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