Provider Demographics
NPI:1659905446
Name:BROWN, LANIQUE JANEEN
Entity Type:Individual
Prefix:
First Name:LANIQUE
Middle Name:JANEEN
Last Name:BROWN
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 1:905 6TH ST SW APT 412
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3847
Mailing Address - Country:US
Mailing Address - Phone:202-213-6694
Mailing Address - Fax:
Practice Address - Street 1:907 6TH ST SW APT 615
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3861
Practice Address - Country:US
Practice Address - Phone:202-957-6491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant