Provider Demographics
NPI:1700980893
Name:LEHTINEN, KAREN MARTINKO (DPM)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARTINKO
Last Name:LEHTINEN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 ASHVILLE AVE STE D
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6668
Mailing Address - Country:US
Mailing Address - Phone:919-859-1510
Mailing Address - Fax:
Practice Address - Street 1:311 ASHVILLE AVE STE D
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6668
Practice Address - Country:US
Practice Address - Phone:919-859-1510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH 3122213E00000X
NC633213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4673090001OtherDME NSC
U74902Medicare UPIN
OHMA0870025Medicare ID - Type Unspecified
OHMA0870027Medicare ID - Type Unspecified
OHMA0870026Medicare ID - Type Unspecified
OH2099796Medicaid
OH4673090001Medicare NSC