Marc Lagrosa, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP036508 Issued in PA

Practice address

1205 E Caracas Ave
Hershey, PA 17033-1207

Phone

(570) 316-5969

NPI assigned

Mar 2, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1831044346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E CARACAS AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E CARACAS AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331207",
            "telephone_number": "570-316-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGROSA",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP036508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Rose Lacey, LDN
• Vincent Anthony Lacroce, PHARM.D.
• Christopher Dean Ladd, M.D.
• Anna Laemmle, MD
• Rebecca Marie Lafountain, ED.D.
• Kara A Lahr, CRNP
• Pavaree Laiaddee, D.O.
• Priyanka Lakshmanan, MD
• Sonali Lakshminarayanan, MD
• Ashley Lynn Laliberte, D.O.

• Nurse Practitioner in Hershey, PA
• Providers in Hershey, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.