Provider Demographics
NPI:1114758315
Name:LUCIEN HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:LUCIEN HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DORLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEPTUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-423-0428
Mailing Address - Street 1:9672 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6246
Mailing Address - Country:US
Mailing Address - Phone:754-423-0428
Mailing Address - Fax:954-289-1908
Practice Address - Street 1:9672 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6246
Practice Address - Country:US
Practice Address - Phone:754-423-0428
Practice Address - Fax:954-289-1908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No342000000XTransportation ServicesTransportation Network Company