Provider Demographics
NPI:1821705427
Name:RAUTIO, LENORA D (CHW)
Entity Type:Individual
Prefix:
First Name:LENORA
Middle Name:D
Last Name:RAUTIO
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:MI
Mailing Address - Zip Code:49930-2042
Mailing Address - Country:US
Mailing Address - Phone:906-482-7382
Mailing Address - Fax:906-482-7382
Practice Address - Street 1:540 DEPOT ST
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:MI
Practice Address - Zip Code:49930-2042
Practice Address - Country:US
Practice Address - Phone:906-482-7382
Practice Address - Fax:906-482-7382
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No172V00000XOther Service ProvidersCommunity Health Worker