Brandy Lynne Shattuck, M D - Pathology in Lansing, MI

Brandy Lynne Shattuck, M D is a Pathology - Forensic Pathology physician based in Lansing, Michigan. Brandy Lynne Shattuck is licensed to practice in Michigan (license number 4301097773) and her current practice location is 1322 E Michigan Ave, Lansing, Michigan. She can be reached at her office (for appointments etc.) via phone at (517) 364-3963.

NPI number for Brandy Lynne Shattuck is 1851659064 and her current mailing address is 4000 Mountain Glade Dr, Apartment 4, Holt, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851659064.

Contact Information

Brandy Lynne Shattuck, M D
1322 E Michigan Ave,
Lansing, MI 48912-2199
(517) 364-3963
Not Available

Map and Direction




Physician's Profile

Full NameBrandy Lynne Shattuck
GenderFemale
SpecialityPathology - Forensic Pathology
Location1322 E Michigan Ave, Lansing, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851659064
  • Provider Enumeration Date: 04/25/2012
  • Last Update Date: 07/02/2013

Medical Identifiers

Medical identifiers for Brandy Lynne Shattuck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851659064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZF0201XPathology - Forensic Pathology 4301097773 (Michigan)Primary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 4301097773 (Michigan)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 2012019898 (Missouri)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandy Lynne Shattuck is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brandy Lynne Shattuck, M D
4000 Mountain Glade Dr, Apartment 4,
Holt, MI 48842-7738

Ph: (518) 542-1097
Brandy Lynne Shattuck, M D
1322 E Michigan Ave,
Lansing, MI 48912-2199

Ph: (517) 364-3963

Reviews and Comments


Pathology Doctors in Lansing, MI

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