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Travicia Lashandra Brown
Clinical Laboratory Director (Non-physician) in Marietta, Georgia
NPI 1538825054

Travicia Lashandra Brown is a Clinical Laboratory Director (Non-physician) based in Marietta, GA and is specialized in Clinical Laboratory Director, Non-physician. Travicia Lashandra Brown practices in Marietta, GA. The NPI Number for Travicia Lashandra Brown is 1538825054 and holds a License No. (Georgia).

The current practice location address for Travicia Lashandra Brown is 1180 Franklin Gtwy Se Ste 202, Marietta, GA and can be reached out via phone at 504-814-1277.

Location: 1180 Franklin Gtwy Se Ste 202, Marietta, GA, 30067-8900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538825054
Provider Name
Travicia Lashandra Brown
Credential
Provider Entity Type
Individual
Gender
Female
Address
1180 Franklin Gtwy Se Ste 202, Marietta, GA, 30067-8900
Phone Number
504-814-1277
Fax Number
Provider Enumeration Date
11/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1180 Franklin Gtwy Se Ste 202
City
Marietta
State
Georgia
Zip
30067-8900
Phone Number
504-814-1277
Fax Number
person
Provider Business Mailing Address Details
Address
1180 Franklin Gtwy Se Ste 202
City
Marietta
State
Georgia
Zip
30067-8900
Phone Number
504-814-1277
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Medical Laboratory
Taxonomy
246RM2200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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