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Lacey Shambo is one of 42 nurse practitioners practicing in Harker Heights, Texas .
Lacey Shambo practices with Jonathan Larson MD PC.
Registry record (NPPES)
NPI
1902537038
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
18983 US Route 11 Watertown, NY 13601-5320 (315) 782-0059
Enumerated
Jun 20, 2022
Record last updated
Mar 26, 2025
License states listed
CO, DE, FL, KY, NY, OR, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in CO, NY, TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Heather Massengill, APN
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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