Provider Demographics
NPI:1285291740
Name:LAHTINEN, MARK W (DO)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:W
Last Name:LAHTINEN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:220 E ROWAN AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1203
Mailing Address - Country:US
Mailing Address - Phone:509-489-3554
Mailing Address - Fax:509-489-3558
Practice Address - Street 1:220 E ROWAN AVE STE 300
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1203
Practice Address - Country:US
Practice Address - Phone:509-498-3554
Practice Address - Fax:509-489-3558
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2022-07-01
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Provider Licenses
StateLicense IDTaxonomies
WAOP61086567207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine