Provider Demographics
NPI:1851545610
Name:GRECO, LAUREN MARIE (PA C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MARIE
Last Name:GRECO
Suffix:
Gender:F
Credentials:PA C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:501 W NORTH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-1603
Mailing Address - Country:US
Mailing Address - Phone:708-450-5086
Mailing Address - Fax:708-345-4075
Practice Address - Street 1:501 W NORTH AVE STE 103
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-1603
Practice Address - Country:US
Practice Address - Phone:708-450-5086
Practice Address - Fax:708-345-4075
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2021-02-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant