Dr. Shanon Renee Lacy, DO
Dr. Shanon Renee Lacy, DO is a Pathology in West Allis, Wisconsin. Graduated from Chicago College of Medicine and Surgery in 2007, 19 years ago. Practices with Great Lakes Pathologists SC, a 55-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 19
- Trained at
- Chicago College of Medicine and Surgery
- Licensed in
- WI
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
8901 W Lincoln AveWest Allis, WI 53227-2409
Phone: (414) 328-7675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence 56999-21 (WI) |
|---|---|
| Dermatopathology (Pathology) Physician | Taxonomy 207ZD0900X · Licence 56999-21 (WI) |
Record details
| NPI number | 1003076142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | June 12, 2008 |
| Last updated in NPPES | December 30, 2021 |
| Certification date | December 30, 2021 |
| Mailing address | 102 N Water St Unit 206, Milwaukee, WI 53202-6056 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Medical school | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduated | 2007 (19 years in practice) |
| Group practice | Great Lakes Pathologists Sc — 55 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 8 on file with Medicare |
Other providers in West Allis
-
Susan Pei
8901 W Lincoln Ave, West Allis, WI 53227-2409 · (414) 328-7950