Individual provider · Type 1 NPI
Taccara Lee
Clinical Laboratory Director (Non-physician) · Lithonia, GA
NPI number
1760101422
Active
Practice location
100 Leslie Oaks Dr Apt 10107
Lithonia, GA 30058-6741
Mailing address
8170 Mall Pkwy # 1056
Lithonia, GA 30038-2545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Phlebotomy Technician | 246RP1900X | None listed |
| 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.
Another provider at this address
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About NPI 1760101422
Taccara Lee's National Provider Identifier is 1760101422, issued on Aug 25, 2022. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Lithonia, GA. The record was last updated on Aug 25, 2022.