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

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
Mailing address1516 San Anselmo Ave, Apt B, San Anselmo, CA 94960-1863