Provider Demographics
NPI:1770859845
Name:LAHTEENMAA, HEIDI MARJAANA (DO)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:MARJAANA
Last Name:LAHTEENMAA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 S OCEAN BLVD APT 805
Mailing Address - Street 2:
Mailing Address - City:SOUTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-5779
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3540 S OCEAN BLVD APT 805
Practice Address - Street 2:
Practice Address - City:SOUTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-5779
Practice Address - Country:US
Practice Address - Phone:702-755-6142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS169112084P0800X
MN662662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry