Provider Demographics
NPI:1942185699
Name:GROSSE, LANCE (DPT)
Entity type:Individual
Prefix:DR
First Name:LANCE
Middle Name:
Last Name:GROSSE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-0507
Mailing Address - Country:US
Mailing Address - Phone:215-822-5400
Mailing Address - Fax:215-822-7085
Practice Address - Street 1:2304 N BROAD ST
Practice Address - Street 2:
Practice Address - City:COLMAR
Practice Address - State:PA
Practice Address - Zip Code:18915-9725
Practice Address - Country:US
Practice Address - Phone:215-822-5400
Practice Address - Fax:215-822-7075
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT033190208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation