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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LACEY E SHAMBO, DNP-BC

Active

LACEY E SHAMBO, DNP-BC is a Family Nurse Practitioner healthcare provider located in WATERTOWN, New York. NPI 1902537038 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · WATERTOWN, NY

Registration Details

NPI Number
1902537038
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2022 (4.1250361761572 yrs)
Last Updated
Mar 26, 2025
Licenses
TPAN2536 (FL)
1169690 (TX)
689095 (NY)
LG-0012858 (DE)
350243 (NY)

Practice Information

Address
18983 US ROUTE 11
WATERTOWN, NY, 136015320
Browse NY providers · Browse ZIP 13601
Phone
3157820059
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Registered Nurse
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in WATERTOWN, NY

Name Credential NPI
MS. KATHRYN A KOLTON FNP 1811990856
MS. NANCY A COUGHLIN RN,FNP-C 1518960822
MS. ANNA BELLE HYDE FNP-C 1588661011
MRS. LISA M WESTCOTT NP 1861499196
KAREN C NEVILLS NP 1841285731
MS. CATHERINE E VELEY FNP 1841272531
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.