Individual provider · Type 1 NPI

Lavonta Minor

Clinical Laboratory Director (Non-physician) · Fredericksburg, VA

NPI number 1366274680 Active

Practice location

1320 Central Park Blvd
Fredericksburg, VA 22401-4942

Call (540) 760-8068 Map

Mailing address

2215 Plank Rd
Fredericksburg, VA 22401-5226

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XNone 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.

16 other providers at this address

About NPI 1366274680

Lavonta Minor's National Provider Identifier is 1366274680, issued on Aug 15, 2024. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Fredericksburg, VA. The record was last updated on Aug 15, 2024.