Individual provider · Type 1 NPI

Lacey C. Grego, PA-C

Medical Physician Assistant · Cleveland, OH

NPI number 1144641382 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

1082 Fresno Dr
Westlake, OH 44145-2728

Other practice locations

  • 912 S Fleishel Ave, Tyler, TX 75701-2018 · (903) 592-6901
  • 627 Turtle Creek Dr, Tyler, TX 75701-1832 · (903) 593-2539

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50.005995RX (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1144641382

Lacey C. Grego, PA-C's National Provider Identifier is 1144641382, issued on Dec 13, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cleveland, OH. The record was last updated on Dec 8, 2024.