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

Lacey Jorgensen

Individual provider Physician Assistant · NPI 1851272033

Lacey Jorgensen is an Emergency Medicine in Philadelphia, Pennsylvania. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
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Practice location Address checks out

11 S Letitia St Apt 303
Philadelphia, PA 19106-3010
Phone: (848) 210-6568
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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 MA067192 (PA)

Record details

NPI number1851272033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 11, 2025
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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