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Contact Information

SHANON R LACY, DO
8901 W LINCOLN AVE
WEST ALLIS, WI53227-2409
 Phone: 414-328-7675
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Dermatopathology

207ZD0900X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SHANON R LACY · (Female)

NPI # 1003076142
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/12/2008
Last updated 12/30/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 56999-21
Hospital affiliation(s)
  • AURORA MEDICAL CENTER - (Acute Care)
    36500 AURORA DRIVE
    SUMMIT, WI 53066
  • WAUKESHA MEMORIAL HOSPITAL - (Acute Care)
    725 AMERICAN AVE
    WAUKESHA, WI 53188
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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