SHIRLEY LACROSSE P.A.-C
NPI 1386711364
Physician Assistant in Broomall, PA

Active since November 29, 2006
2004 SPROUL RD, BROOMALL, PA 19008(610) 353-0800(610) 359-1686 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shirley Lacrosse P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY LACROSSE P.A.-C (NPI 1386711364) is an individual physician assistant in Broomall, Pennsylvania, licensed in Pennsylvania (MA000537L) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1386711364
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHIRLEY LACROSSECredential: P.A.-C
Location Address2004 SPROUL RDBroomall, PA 19008-3511
Mailing Address2004 Sproul RdBroomall, PA 19008-3511 · (610) 353-0800 · Fax (610) 359-1686
Fax(610) 359-1686
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1386711364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA000537L
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2004 SPROUL RD, Broomall, PA 19008

Other Identifiers 1

Medicare UPINR06070PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
2004 SPROUL RD, 1ST FLOOR
BROOMALL, PA 19008
Orthopaedic Surgery
2004 SPROUL RD
BROOMALL, PA 19008
Physical Therapist
2004 SPROUL RD
BROOMALL, PA 19008
Dentist (General Practice)
2004 SPROUL RD, SUITE 204
BROOMALL, PA 19008
Physical Therapist
2004 SPROUL RD, SUITE 100
BROOMALL, PA 19008
Specialist/Technologist (Athletic Trainer)
2004 SPROUL RD
BROOMALL, PA 19008
Physician Assistant (Medical)
2004 SPROUL RD
BROOMALL, PA 19008
Orthopaedic Surgery
2004 SPROUL RD
BROOMALL, PA 19008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Lacrosse's NPI number?

The NPI number for Shirley Lacrosse is 1386711364. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Shirley Lacrosse located?

Shirley Lacrosse practices at 2004 Sproul Rd, Broomall, PA 19008. The listed phone number is (610) 353-0800.

What is Shirley Lacrosse's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shirley Lacrosse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.