Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lonnie Tanenberg

Individual provider Athletic Trainer · NPI 1104213602

Lonnie Tanenberg is an Athletic Trainer in San Anselmo, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

1516 San Anselmo Ave Apt B
San Anselmo, CA 94960-1863
Phone: (415) 685-4493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1104213602
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 22, 2015
Last updated in NPPESApril 22, 2015