Shirley Lacrosse, P.A.-C

NPI #1386711364 in Broomall, Pennsylvania

Provider Information

NPI Number: 1386711364
Entity Type: Individual
Name: Shirley Lacrosse, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Nov 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2004 SPROUL RD
City: Broomall
State: Pennsylvania
ZIP Code: 19008-3511
Phone: (610) 353-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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