SHANELLE LEWIS NPI 1003392259

NPI Information

  • NPI: 1003392259
  • Provider Name: SHANELLE LEWIS
  • Classification: Technician, Pathology - 246RP1900X
  • Specialization: Phlebotomy
  • Entity Type: Individual
  • Address: 4484 COVINGTON HWY
    DECATUR, GA
    ZIP 30035
  • Phone: (347) 313-2205

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NPI Details

Shanelle Lewis is a phlebotomy technician pathology in Decatur, GA. Shanelle Lewis NPI is 1003392259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4484 COVINGTON HWY
DECATUR, GA
ZIP 30035
Phone: (347) 313-2205

The enumeration date for this NPI number is 7/11/2018 and was last updated on 7/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246QL0900XSpecialist/Technologist, PathologyLaboratory ManagementNo
2246RP1900XTechnician, PathologyPhlebotomyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NAOTHERNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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