Lavonta Minor

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

1320 Central Park Blvd
Fredericksburg, VA 22401-4942

Phone

(540) 760-8068

NPI assigned

Aug 15, 2024

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Procollect Consulting

  • Clinical Laboratory Director (Non-physician)
  • Fredericksburg, VA
  • NPI 1053143388

  Clinical Laboratory Director, Non-Physician

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1366274680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015226",
            "telephone_number": "540-809-9954",
            "fax_number": "540-301-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014942",
            "telephone_number": "540-760-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "LAVONTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joseph Miluszusky, MD
• Aye Min, MD
• Mind Vitality Solutions
• Mindful Mama, LLC
• Talisha Doray Minor- Jackson, LMT
• Linda R. Minor, L.C.S.W.
• Sherrica Minor
• Jose Luis Mira Jr., M.D.
• Mehak Misha
• Mission One Services

• Clinical Laboratory Director (Non-physician) in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Laboratory Director (Non-physician) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.