Healthcare Provider Details

I. General information

NPI: 1912937673
Provider Name (Legal Business Name): TANYA M LECHMAIER APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 W. LAYTON AVE.
GREENFIELD WI
53220-4021
US

IV. Provider business mailing address

5800 W. LAYTON AVE.
GREENFIELD WI
53220-4021
US

V. Phone/Fax

Practice location:
  • Phone: 262-532-3067
  • Fax:
Mailing address:
  • Phone: 262-532-3067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2758-033
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209-029128
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: