Healthcare Provider Details

I. General information

NPI: 1497903819
Provider Name (Legal Business Name): ANDREW S LEHR CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4933 MINERAL POINT RD
MADISON WI
53705-4876
US

IV. Provider business mailing address

4933 MINERAL POINT RD
MADISON WI
53705-4876
US

V. Phone/Fax

Practice location:
  • Phone: 608-347-9511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number142480
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: