Provider Demographics
NPI:1407066723
Name:MADDEN, LENDICITA Q (MD)
Entity Type:Individual
Prefix:DR
First Name:LENDICITA
Middle Name:Q
Last Name:MADDEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4808 POWDER HOUSE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1140
Mailing Address - Country:US
Mailing Address - Phone:301-924-5394
Mailing Address - Fax:301-762-3763
Practice Address - Street 1:10801 LOCKWOOD DR STE 140
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1559
Practice Address - Country:US
Practice Address - Phone:240-899-5315
Practice Address - Fax:240-645-4013
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0074695207QA0505X
DCMD5946207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1407066723Medicaid