Individual
SHANELLE DE LANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 491-6000
(317) 491-6534
Mailing address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 491-6000
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
01093369A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01093369A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2019
Last updated
02/17/2025
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