Provider Demographics
NPI:1336589514
Name:LEHN, COLETTE ANN (CRNA)
Entity Type:Individual
Prefix:
First Name:COLETTE
Middle Name:ANN
Last Name:LEHN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 BURGESS DR
Mailing Address - Street 2:APT A
Mailing Address - City:UTICA
Mailing Address - State:IL
Mailing Address - Zip Code:61373-9559
Mailing Address - Country:US
Mailing Address - Phone:815-252-2538
Mailing Address - Fax:
Practice Address - Street 1:600 E 1ST ST
Practice Address - Street 2:ANESTHESIA DEPARTMENT
Practice Address - City:SPRING VALLEY
Practice Address - State:IL
Practice Address - Zip Code:61362-1512
Practice Address - Country:US
Practice Address - Phone:815-664-5311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL93121367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered