Provider Demographics
NPI:1851987739
Name:LEHNHOFF, BONNIE KAY
Entity Type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:KAY
Last Name:LEHNHOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 3RD ST N
Mailing Address - Street 2:
Mailing Address - City:ELLENDALE
Mailing Address - State:ND
Mailing Address - Zip Code:58436-7415
Mailing Address - Country:US
Mailing Address - Phone:701-535-1083
Mailing Address - Fax:
Practice Address - Street 1:50 3RD ST N
Practice Address - Street 2:
Practice Address - City:ELLENDALE
Practice Address - State:ND
Practice Address - Zip Code:58436-7415
Practice Address - Country:US
Practice Address - Phone:701-535-1083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant