Individual provider · Type 1 NPI
Lewis Jackson, PhD
Clinical Laboratory Director (Non-physician) · Louisville, KY
NPI number
1376138347
Active
Practice location
111 N Hubbards Ln Ste 1
Louisville, KY 40207-3902
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.
About NPI 1376138347
Lewis Jackson, PhD's National Provider Identifier is 1376138347, issued on Mar 2, 2021. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Louisville, KY. The record was last updated on Mar 2, 2021.