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NPI Code Detail

MEDICARE: CAROL A LEHTO CDR

MEDICARE: CAROL A LEHTO CDR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian533060MI

General Provider Information

NPI Number : 1225010333
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL A LEHTO CDR
Provider Business Mailing Address
First Line : 1721 S STEPHENSON AVE
Second Line : PO BOX 549
City : IRON MOUNTAIN
State : MI
Zip : 49801-3637
Country : US
Telephone Number : 906-774-1313
Fax Number : 906-776-5639
Provider Business Practice Location Address
First Line : 1721 S STEPHENSON AVE
Second Line :
City : IRON MOUNTAIN
State : MI
Zip : 49801-3637
Country : US
Telephone Number : 906-774-1313
Fax Number : 906-776-5639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 05/15/2009

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Directions to “ CAROL A LEHTO CDR” Practice Location

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