MRS. LAKEISHA NICOLE SWAN (NPI# 1417263849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417263849 |
Entity Type | Individual |
Full Name | MRS. LAKEISHA NICOLE SWAN |
Credential | PT |
Practice Address |
5106 Back Stretch Blvd Upper Marlboro MD 20772-2970 |
Practice Telephone | 3012543611 |
Mailing Telephone | 3012543611 |
Enumeration Date | 2010-08-23 |
Last Update Date | 2010-08-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
21220 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
5106 BACK STRETCH BLVD |
City | UPPER MARLBORO |
State | MD |
Zip Code | 20772-2970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
Find all providers in zip 20772 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861916843 | Personal Touch Medical Spa LLP | Physical Therapist | 1450 Mercantile Lane Suite 221, Largo, MD 20774 | 2017-08-01 |
1740715168 | Olugbolahan Anifowose | Physical Therapist | 669 Wilbur Sq, Owings Mills, MD 21117-2479 | 2017-04-23 |
1720439714 | Margaret Henry | Physical Therapist | 5708 Stonington Ave, Baltimore, MD 21207-6859 | 2016-06-30 |
1255781407 | Rodel Dapul | Physical Therapist | 5500 Overlook Cir, White Marsh, MD 21162-3414 | 2016-06-20 |
1073926598 | Sheetal Khadsare | Physical Therapist | 8560 2nd Ave, Apt 1010, Silver Spring, MD 20910-6300 | 2014-06-03 |
1649600032 | April Hilario | Physical Therapist | 8433 Winding Trl, Laurel, MD 20724-1435 | 2013-11-20 |
1689002388 | Calice Warlock | Physical Therapist | 6951 Mayfair Ter, Laurel, MD 20707-5215 | 2013-10-16 |
1417200338 | Leo B Ropeta | Physical Therapist | 4705 Miltfred Terrace, Rockville, MD 20853 | 2012-10-16 |
1629323894 | Onyango E Nyunja | Physical Therapist | 7808 Polara Pl, Rockville, MD 20855-2044 | 2012-07-13 |
1154651842 | Jennifer Rogofsky | Physical Therapist | 6110 Timothy Ct, Columbia, MD 21044-3861 | 2010-01-03 |
Find all providers with the same taxonomy |
City | UPPER MARLBORO |
Zip Code | 20772 |
Please comment or provide details below to improve the information on MRS. LAKEISHA NICOLE SWAN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.