Lewis, Shalanda

Lewis, Shalanda is an individual health care provider with primary practice located at 3136 S Prairie Ave , Chicago IL 60616-3904. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician, which is considered as her primary health care specialty. Lewis, Shalanda can be contacted via phone (312) 479-1530.

Contact Information

Primary practice address
3136 S Prairie Ave Chicago IL 60616-3904
Phone: (312) 479-1530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician 247ZC0005X 14D2245600 Illinois

Profile Details

NPI number 1134888480
LBN Legal business name Lewis, Shalanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2021
Last updated Dec 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134888480 NPPES
Illinois Other 873956300 LABORATORY
Illinois Other 873956300 LABORATORY

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