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

Shawn Lackens

Individual provider Registered Nurse · NPI 1104413244

Shawn Lackens is a Registered Nurse in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
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Practice location Address checks out

4100 W 3rd St
Dayton, OH 45428-9000
Phone: (937) 268-6511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN.387393 (OH)

Record details

NPI number1104413244
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 23, 2020
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address2324 Rosina Dr, Miamisburg, OH 45342-6422

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