MAXINE WALLEN LEWIS RN NPI 1386374510

NPI Information

NPI: 1386374510
Provider Name: MAXINE WALLEN LEWIS, RN
Classification: Pathology - 247ZC0005X
Entity Type: Individual

Specialization: Clinical Laboratory Director, Non-physician

Address:
7831 BIG BUCK DR
BALTIMORE, MD
ZIP 21244
Phone: (443) 803-3937
Get Directions

Maxine Wallen Lewis, RN is a clinical laboratory director and non-physician pathology in Baltimore, MD. The provider is 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. Maxine Wallen Lewis, RN NPI is 1386374510. 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:

7831 BIG BUCK DR
BALTIMORE, MD
ZIP 21244-068
Phone: (443) 803-3937

The enumeration date for this NPI number is 6/11/2022 and was last updated on 6/11/2022.

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
1	247ZC0005X	Pathology	Clinical Laboratory Director, Non-physician	21D2258698	MARYLAND	Yes

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
1	21D22585698	MEDICAID	MARYLAND

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »