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

Shannon Lacovic, FNP-C

Individual provider Family Nurse Practitioner · NPI 1780121145

Shannon Lacovic, FNP-C is a Nurse Practitioner in Lenox, Michigan. Qualified in 2016, 10 years ago. Practices with Physician Healthcare Network PC, a 30-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

36267 26 Mile Rd Ste 3
Lenox, MI 48048-3166
Phone: (586) 716-1371
Fax: (586) 716-4855
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704240822 (MI)

Record details

NPI number1780121145
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2017
Last updated in NPPESApril 4, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Physician Healthcare Network Pc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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