| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1164671798 | LAKE TAHOE ORTHOPAEDIC INSTITUTE | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 | |||
| 1790965960 | GANONG | ALISON | C | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 | |
| 1255638870 | VILLARET | AMY | MARIE | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 |