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

Lacie Lynann Sanderson, PA-C

Individual provider Physician Assistant · NPI 1578900890

Lacie Lynann Sanderson, PA-C is a Physician Assistant in Newport, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Family Practice Center PC, a 347-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Licensed in
PA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

52 Red Hill Ct
Newport, PA 17074-8706
Phone: (717) 567-3151
Fax: (717) 567-7571
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 S Front St, Harrisburg, PA 17101-2010 — (717) 782-3380

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA056200 (PA)

Record details

NPI number1578900890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 28, 2013
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Family Practice Center Pc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare