Provider Demographics
NPI:1013664242
Name:LAHTI, LESLIE DAWN (RN)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:DAWN
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 1:2880 COUNTY ROAD 233
Mailing Address - Street 2:
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-8737
Mailing Address - Country:US
Mailing Address - Phone:970-261-1938
Mailing Address - Fax:
Practice Address - Street 1:1810 MEDICINE BOW CT
Practice Address - Street 2:
Practice Address - City:SILT
Practice Address - State:CO
Practice Address - Zip Code:81652-8511
Practice Address - Country:US
Practice Address - Phone:970-261-1938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1646578163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator