Maxine Wallen Lewis, RN - Baltimore, MD

Maxine Wallen Lewis, RN

Clinical Laboratory Director (Non-physician) in Baltimore, Maryland

NPI 1386374510

Maxine Wallen Lewis is a Clinical Laboratory Director (Non-physician) based in Baltimore, MD and is specialized in Clinical Laboratory Director, Non-physician. Maxine Wallen Lewis practices in Baltimore, MD and has the professional credentials of RN. The NPI Number for Maxine Wallen Lewis is 1386374510 and holds a License No. 21D2258698 (Maryland).

The current practice location address for Maxine Wallen Lewis is 7831 Big Buck Dr, Baltimore, MD and can be reached out via phone at 443-803-3937.

Location: 7831 Big Buck Dr, Baltimore, MD, 21244-2068

NPI Number

1386374510

Provider Name

Maxine Wallen Lewis

Credential

Provider Entity Type

Individual

Gender

Female

Address

7831 Big Buck Dr, Baltimore, MD, 21244-2068

Phone Number

443-803-3937

Fax Number

Provider Enumeration Date

06/11/2022

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
21D22585698	05	MD

Address

7831 Big Buck Dr

City

Baltimore

State

Maryland

Zip

21244-2068

Phone Number

443-803-3937

Fax Number

Address

7831 Big Buck Dr

City

Baltimore

State

Maryland

Zip

21244-2068

Phone Number

443-803-3937

Fax Number

Type

Technologists, Technicians & Other Technical Service Providers

Classification

Technician, Pathology

Speciality

Clinical Laboratory Director, Non-physician

Taxonomy

247ZC0005X

License No.

21D2258698 (Maryland)

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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