| Doctor Name: | DR. SHANON RENEE LACY |
| NPI Number: | 1003076142 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 56999-21 |
| Business Practice Address: | 8901 W Lincoln Ave West Allis, WI - 532272409 |
| Business Phone Number: | 4143287675 |
| Business Fax Number: | |
| Mailing Address: | 102 N Water St Unit 206, MILWAUKEE |
| State: | WI |
| Postal Code: | 532026056 |
| Phone Number: | 3172859918 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2008 |
| NPI Last Update Date: | 07/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207ZD0900X |
| License Number: | 56999-21 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pathology |
| Taxonomy Specialization: | Dermatopathology |
| Taxonomy Definition: | A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |