Healthcare Provider Details

I. General information

NPI: 1477489714
Provider Name (Legal Business Name): QUINN ANDREW LEHMER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14611 W CENTER RD
OMAHA NE
68144-3219
US

IV. Provider business mailing address

4736 LAKEWOOD DR
BLAIR NE
68008-6240
US

V. Phone/Fax

Practice location:
  • Phone: 402-695-9831
  • Fax:
Mailing address:
  • Phone: 402-909-2726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: