Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Erin Lattanze, PA-C

Individual provider Medical Physician Assistant · NPI 1629116728

Stacey Erin Lattanze, PA-C is a Physician Assistant in Lebanon, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Lancaster General Medical Group, a 582-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1701 Cornwall Rd Ste 201
Lebanon, PA 17042-7480
Phone: (717) 675-1780
Fax: (717) 675-1776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1010 W Crestview Dr, Lebanon, PA 17042-7415 — (717) 272-7469
  • 2496 Stiegel Pike, Schaefferstown, PA 17088-7021 — (717) 949-2777
  • 14 Philadelphia Ave, Shillington, PA 19607-2757 — (610) 777-7781

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA002230-L (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence OA003364 (PA)

Record details

NPI number1629116728
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lancaster General Medical Group — 582 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lebanon