Search › Louisiana › 152W00000X
Lacy Shaw, O.D
NPI 1265528665 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5615-B Jackson St Ext
Alexandria, LA 71303 - Phone
- (318) 442-7787
- Fax
- (318) 443-1654
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WC0802X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana