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PIAA District IV Girls Lacrosse (2023) Rankings
- Last updated: 1/3/2024
- Minimum games played: 8
- Learn about MaxPreps Rankings
| # | Team | Ovr. | Rating | Str. |
|---|---|---|---|---|
| 1 |  Danville | 14-5-0 | 5.21 | -3.5 |
| 2 |  Lewisburg | 9-8-0 | -5.24 | -7.0 |
| 3 |  Selinsgrove | 6-8-0 | -7.55 | -5.6 |
| 4 |  Midd-West | 2-7-0 | -14.93 | -6.3 |
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