Search › Missouri › 1710I1003X
Shane Lacaillade, IDMT
NPI 1881829497 · on the registry since 2009
Practice
- Address
- 331 Sijan Ave
Whiteman Afb, MO 65305 - Phone
- (660) 687-1191
- Organisation at this address
- 509th Medgrp-Whiteman
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 1710I1003X
1710I1003X
- Sex
- Male
- Record last updated
- 2009-05-27
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 Missouri