Basic Information
| Provider Information | |||||||||
| NPI: | 1770859845 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAHTEENMAA | ||||||||
| FirstName: | HEIDI | ||||||||
| MiddleName: | MARJAANA | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3540 S OCEAN BLVD APT 805 | ||||||||
| Address2: | |||||||||
| City: | SOUTH PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334805779 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3540 S OCEAN BLVD APT 805 | ||||||||
| Address2: | |||||||||
| City: | SOUTH PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334805779 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138447412 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2012 | ||||||||
| LastUpdateDate: | 03/25/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | OS16911 | FL | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.