Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE A LACAILLADE, IDMT
ActiveMR. SHANE A LACAILLADE, IDMT is a Independent Duty Medical Technician healthcare provider located in WHITEMAN AFB, Missouri. NPI 1881829497 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · WHITEMAN AFB, MO
Registration Details
- NPI Number
- 1881829497
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2009 (17.034220871266 yrs)
- Last Updated
- May 27, 2009
Practice Information
- Address
-
331 SIJAN AVEWHITEMAN AFB, MO, 653051269Browse MO providers · Browse ZIP 65305
- Phone
- 6606871191
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in WHITEMAN AFB, MO
| Name | Credential | NPI |
|---|---|---|
| LUIS HERNANDEZ | IDMT | 1780818229 |
| HAIDEE HASTY | — | 1093940793 |
| ANDREA DARCY RICHARDS | — | 1316173313 |
| BENJAMEN E PENNINGTON | IDMT | 1356667687 |
| LETICIA YVONNE BRAZIL | MILITARY PROVIDER | 1174889562 |
| DYLAN JOHN KIELCHESKI | — | 1992203764 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.