Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shane A Lacaillade, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1881829497

Mr. Shane A Lacaillade, IDMT is an Independent Duty Medical Technicians in Whiteman AFB, Missouri. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

331 Sijan Ave
Whiteman AFB, MO 65305-1269
Phone: (660) 687-1191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1881829497
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedMay 27, 2009
Last updated in NPPESMay 27, 2009

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