Provider Demographics
NPI:1083233217
Name:HILL, LAQUINAS LUZENA
Entity Type:Individual
Prefix:
First Name:LAQUINAS
Middle Name:LUZENA
Last Name:HILL
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 1:2034 COMSTOCK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8118
Mailing Address - Country:US
Mailing Address - Phone:843-813-0234
Mailing Address - Fax:
Practice Address - Street 1:2034 COMSTOCK AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8118
Practice Address - Country:US
Practice Address - Phone:843-813-0234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health