Provider Demographics
NPI:1992519367
Name:LANIER, JOHNNIE MARIE
Entity type:Individual
Prefix:
First Name:JOHNNIE
Middle Name:MARIE
Last Name:LANIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 BEXLEY PL APT 605
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-2968
Mailing Address - Country:US
Mailing Address - Phone:301-898-6112
Mailing Address - Fax:
Practice Address - Street 1:3940 BEXLEY PL APT 605
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-2968
Practice Address - Country:US
Practice Address - Phone:301-898-6112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant