Shanon Renee Lacy in West Allis - Dermatopathology
Shanon Renee Lacy - NPI 1003076142
Shanon Renee Lacy is a Dermatopathology in West Allis, Wisconsin. Shanon Renee Lacy practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Shanon Renee Lacy is 1003076142. The last update date is 2021-12-30.
Shanon Renee Lacy's current location address is 8901 W Lincoln Ave, West Allis, Wisconsin. You can contact this provider via phone number 4143287675. The mailing address for Shanon Renee Lacy is 8901 W Lincoln Ave, West Allis, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanon Renee Lacy |
|---|---|
| Address | 8901 W Lincoln Ave, West Allis, Wisconsin |
| Phone Number | 4143287675 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1003076142 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 8901 W Lincoln Ave |
|---|---|
| City | West Allis |
| State | Wisconsin (WI) |
| Post Code | 532272409 |
| Phone Number | 4143287675 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatopathology |
|---|---|
| Taxonomy | 207Zd0900X |
| Licence No | 56999-21 |
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Definition: A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellu |
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What is the unique 10-digit identification code issued to Shanon Renee Lacy by the Centers for Medicare & Medicaid Services?
The Shanon Renee Lacy has been assigned the NPI (National Provider Identifier) 1003076142 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Shanon Renee Lacy is physically located?
The Shanon Renee Lacy is physically situated at the following address: 8901 W Lincoln Ave, West Allis, WI, 532272409.
What is the Shanon Renee Lacy's area of specialization and corresponding taxonomy classification?
The Shanon Renee Lacy's specialty field is Dermatopathology, and it falls under the taxonomy code 207Zd0900X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1003076142 to Shanon Renee Lacy?
The Centers for Medicare & Medicaid Services assigned the 1003076142 to Shanon Renee Lacy on 2008-06-12.
As of what date were the details pertaining to Shanon Renee Lacy last refreshed?
The information related to the Shanon Renee Lacy, including its address, specialty, and other relevant details, was last updated on 2021-12-30.