NPI 1134888480

Shalanda Lewis

Practitioner Clinical Laboratory Director (Non-physician) Chicago, IL

Practice location

Address: 12863 S Normal Ave, Chicago, IL 60628-7436
Phone: (312) 479-1530
Fax: (312) 479-1530
Mailing address: 16029 University Ave, South Holland, IL 60473-1766

Registered specialties

Clinical Laboratory Director (Non-physician) Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247ZC0005X Licence 14D2245600 (IL)

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Registry record

NPI: 1134888480
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2021
Record last updated: 10 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.