Provider Demographics
NPI:1831536929
Name:PILECKI, LAUREN D (PA, MMSC, PHD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:D
Last Name:PILECKI
Suffix:
Gender:F
Credentials:PA, MMSC, PHD
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Other - Credentials:
Mailing Address - Street 1:121 E SAINT VICTOR ST
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-5120
Mailing Address - Country:US
Mailing Address - Phone:337-893-0810
Mailing Address - Fax:
Practice Address - Street 1:121 E SAINT VICTOR ST
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-5120
Practice Address - Country:US
Practice Address - Phone:337-893-0810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant