MEDICARE: LYDIA N. GREFFET PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2017028633	OTHER	MO	PA STATE LICENSE

General Provider Information

NPI Number	:	1942722574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYDIA N. GREFFET PA-C

Provider Business Mailing Address
First Line	:	PO BOX 776084
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6084
Country	:	US
Telephone Number	:	314-843-7557
Fax Number	:	314-849-8671

Provider Business Practice Location Address
First Line	:	4460 S LINDBERGH BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63127-1647
Country	:	US
Telephone Number	:	314-843-7557
Fax Number	:	417-269-2270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2017
Last Update Date	:	09/06/2023

Similar Medicare Providers

1902096613 — DR. JUSTIN HUYNH M.D.
Practice Location Address:

4460 S LINDBERGH BLVD
SAINT LOUIS, MO
63127-1647

Practice Phone: 314-843-7557
Practice Fax: 314-849-8671

1790917219 — DR. JUSTIN NOA HILL D.C.
Practice Location Address:

4434 S LINDBERGH BLVD
SAINT LOUIS, MO
63127-1647

Practice Phone: 314-230-9044
Practice Fax: 636-287-3440

1407292766 — J & L HEALTH SOLUTIONS, LLC
Practice Location Address:

4434 S LINDBERGH BLVD
SAINT LOUIS, MO
63127-1647

Practice Phone: 314-230-9044
Practice Fax:

1245621093 — MRS. ANNE MARIE BANNISTER AGNP
Practice Location Address:

4460 S LINDBERGH BLVD
SAINT LOUIS, MO
63127-1647

Practice Phone: 314-843-7557
Practice Fax:

1518478361 — J&L PAINSTOP OF ARNOLD LLC
Practice Location Address:

4434 S LINDBERGH BLVD
SAINT LOUIS, MO
63127-1647

Practice Phone: 314-230-9044
Practice Fax: 636-287-3440

1063040574 — DR. KENNETH ALSTON LEE DO
Practice Location Address:

4460 S LINDBERGH BLVD
SAINT LOUIS, MO
63127-1647

Practice Phone: 573-359-4485
Practice Fax:

Directions to “ LYDIA N. GREFFET PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.