Taccara Lee
Pathology, Clinical Laboratory Director, Non-physician in Lithonia, GA. Individual provider (NPI-1).
NPI number1760101422
StatusActive
Last updated in NPPESAug 25, 2022
Details
- NPI
- 1760101422
- Entity type
- Individual (NPI-1)
- Name
- Taccara Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2022
- Certification date
- Aug 25, 2022
- Last updated
- Aug 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247ZC0005X | Pathology, Clinical Laboratory Director, Non-physician | – | – | Yes |
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – |
Practice location
100 Leslie Oaks Dr Apt 10107Lithonia, GA 30058-6741
Phone 404-301-8803
Mailing address
8170 Mall Pkwy # 1056Lithonia, GA 30038-2545
Phone 404-301-8803
Is something wrong?
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Other Clinical Laboratory Director (Non-physician) providers in Lithonia, GA
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