Healthcare Provider Details

I. General information

NPI: 1225630544
Provider Name (Legal Business Name): LAUREN PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN ELIZABETH SCHECK PA

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 BON AIR RD
GREENBRAE CA
94904-1702
US

IV. Provider business mailing address

250 BON AIR RD
GREENBRAE CA
94904-1702
US

V. Phone/Fax

Practice location:
  • Phone: 415-925-7858
  • Fax: 415-925-7858
Mailing address:
  • Phone: 415-925-7858
  • Fax: 415-925-7146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number59119
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: