=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528904455
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRENNA JOY LEX AUD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2026
-----------------------------------------------------
Last Update Date | 04/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4805 S MOORLAND RD
-----------------------------------------------------
City | NEW BERLIN
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53151-7401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-798-7479
-----------------------------------------------------
Fax | 262-798-7481
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4805 S MOORLAND RD
-----------------------------------------------------
City | NEW BERLIN
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53151-7401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-798-7479
-----------------------------------------------------
Fax | 262-798-7481
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------