SHANON RENEE LACY

WEST ALLIS, WI
NPI1003076142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: WI  56999-21)
Additional Taxonomies207ZD0900X Pathology, Dermatopathology
(Licence: WI  56999-21)
Enumeration Date2008-06-12
Last Update Date2021-12-30
Business Address
Dr. SHANON RENEE LACY D.O.
8901 W LINCOLN AVE
WEST ALLIS, WI 53227-2409
Phone number: 414-328-7675
Mailing Address
Dr. SHANON RENEE LACY D.O.
102 N WATER ST UNIT 206
MILWAUKEE, WI 53202-6056
Phone number: 317-285-9918