Provider Demographics
NPI:1689486730
Name:LEHTO, SUSAN LYNN (RN)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:LYNN
Last Name:LEHTO
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 1:604 JONES AVE
Mailing Address - Street 2:P.O. BOX 100
Mailing Address - City:BUHL
Mailing Address - State:MN
Mailing Address - Zip Code:55713
Mailing Address - Country:US
Mailing Address - Phone:218-258-6142
Mailing Address - Fax:
Practice Address - Street 1:604 JONES AVE
Practice Address - Street 2:P.O. BOX 100
Practice Address - City:BUHL
Practice Address - State:MN
Practice Address - Zip Code:55713
Practice Address - Country:US
Practice Address - Phone:218-258-6142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR154094-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse