Provider Demographics
NPI:1528730009
Name:LUCIEN, MAKESHIA (DPT)
Entity type:Individual
Prefix:
First Name:MAKESHIA
Middle Name:
Last Name:LUCIEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 ALLENTOWN RD STE 410
Mailing Address - Street 2:
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4565
Mailing Address - Country:US
Mailing Address - Phone:301-238-4788
Mailing Address - Fax:
Practice Address - Street 1:7500 MARLBORO PIKE STE A
Practice Address - Street 2:
Practice Address - City:FORESTVILLE
Practice Address - State:MD
Practice Address - Zip Code:20747-4311
Practice Address - Country:US
Practice Address - Phone:301-238-4723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-02
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist