Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren Talatzko, PA-C

Individual provider Physician Assistant · NPI 1508223868

Lauren Talatzko, PA-C is a Physician Assistant in Greenfield, Wisconsin. Qualified in 2015, 11 years ago. Practices with Cleanslate Medical Group of Wisconsin SC, a 28-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4848 S 76th St Ste 210
Greenfield, WI 53220-4361
Phone: (414) 847-7080
Fax: (414) 810-4962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3711-23 (WI)

Record details

NPI number1508223868
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2016
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cleanslate Medical Group Of Wisconsin Sc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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