Individual provider · Type 1 NPI
Tecilla Reshawn Hicks
Clinical Laboratory Director (Non-physician) · Lake City, FL
NPI number
1043017593
Active
Practice location
725 SE Baya Dr
Lake City, FL 32025-6073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None listed |
Clinical Laboratory Director (Non-physician): 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.
2 other providers at this address
About NPI 1043017593
Tecilla Reshawn Hicks's National Provider Identifier is 1043017593, issued on Mar 3, 2025. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Lake City, FL. The record was last updated on Mar 3, 2025.