| Doctor Name: | MRS. LORENE GREENE |
| NPI Number: | 1023408283 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | RN254148 |
| Business Practice Address: | 1975 Highway 54 W Suite 150 Peachtree City, GA - 302694794 |
| Business Phone Number: | 7707865000 |
| Business Fax Number: | 4045882624 |
| Mailing Address: | 1975 Highway 54 W, Suite 150 PEACHTREE CITY |
| State: | GA |
| Postal Code: | 302694794 |
| Phone Number: | 7707865000 |
| Fax Number: | 4045882624 |
| NPI Enumeration Date: | 01/27/2015 |
| NPI Last Update Date: | 03/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN254148 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |