Lacie Lynann Sanderson, PA-C

NPI #1578900890 in Newport, Pennsylvania

Provider Information

NPI Number: 1578900890
Entity Type: Individual
Name: Lacie Lynann Sanderson, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 28, 2013
Last Updated: Aug 9, 2024

Practice Location

Address: 52 RED HILL CT
City: Newport
State: Pennsylvania
ZIP Code: 17074-8706
Phone: (717) 567-3151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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