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Shalanda Lewis
Clinical Laboratory Director (Non-physician) in Chicago, Illinois
NPI 1134888480

Shalanda Lewis is a Clinical Laboratory Director (Non-physician) based in Chicago, IL and is specialized in Clinical Laboratory Director, Non-physician. Shalanda Lewis practices in Chicago, IL. The NPI Number for Shalanda Lewis is 1134888480 and holds a License No. 14D2245600 (Illinois).

The current practice location address for Shalanda Lewis is 3136 S Prairie Ave, Chicago, IL and can be reached out via phone at 312-479-1530. You can also correspond with Shalanda Lewis through the mailing address at 3136 S PRAIRIE AVE, CHICAGO, IL - 60616-3904 (mailing address contact number: 312-479-1530).

Location: 3136 S Prairie Ave, Chicago, IL, 60616-3904
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Provider Profile Details
NPI Number
1134888480
Provider Name
Shalanda Lewis
Credential
Provider Entity Type
Individual
Gender
Female
Address
3136 S Prairie Ave, Chicago, IL, 60616-3904
Phone Number
312-479-1530
Fax Number
Provider Enumeration Date
12/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
873956300 01 IL LABORATORY
873956300 01 IL LAB
institution
Provider Business Practice Location Address Details
Address
3136 S Prairie Ave
City
State
Zip
60616-3904
Phone Number
312-479-1530
Fax Number
person
Provider Business Mailing Address Details
Address
3136 S Prairie Ave
City
State
Zip
60616-3904
Phone Number
312-479-1530
Fax Number
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Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
14D2245600 (Illinois)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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