Provider Demographics
NPI:1851973671
Name:LAHTI, JENNIFER JOAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:JOAN
Last Name:LAHTI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8881 OAKMOUNT BLVD APT SUITE
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-1461
Mailing Address - Country:US
Mailing Address - Phone:517-214-7710
Mailing Address - Fax:
Practice Address - Street 1:8881 OAKMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-1461
Practice Address - Country:US
Practice Address - Phone:517-214-7710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95068809163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory CareGroup - Single Specialty