NPI 1003076142

Shanon Renee Lacy, DO

Practitioner Anatomic Pathology & Clinical Pathology Physician West Allis, WI

Practice location

Address: 8901 W Lincoln Ave, West Allis, WI 53227-2409
Phone: (414) 328-7675
Mailing address: 102 N Water St Unit 206, Milwaukee, WI 53202-6056

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 56999-21 (WI)

Other Pathology providers in Wisconsin →

Dermatopathology (Pathology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZD0900X Licence 56999-21 (WI)

Registry record

NPI: 1003076142
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2008
Record last updated: 30 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.