Individual
DR. LESLIE K GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
611 SAINT LANDRY ST, LAFAYETTE, LA 70506-4627
(337) 289-2000
Mailing address
PO BOX 34935, DEPT 199, SEATTLE, WA 98124-1935
(800) 950-1027
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
020199
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04866
BCBS
LA
05
—
1384950
—
LA
Enumeration date
06/03/2006
Last updated
04/16/2008
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