Type 1 individualNPI 1003076142
DR. SHANON RENEE LACY D.O.
207ZP0102X · WEST ALLIS, WI
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 207ZP0102X | 207ZP0102X | Primary |
| 207ZD0900X | 207ZD0900X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s