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NPI Code Detail

MEDICARE: LUCAS MARKIEWICZ

MEDICARE: LUCAS MARKIEWICZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist05013808AIN

General Provider Information

NPI Number : 1497482079
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS MARKIEWICZ
Provider Business Mailing Address
First Line : 1000 E MAIN ST
Second Line :
City : DANVILLE
State : IN
Zip : 46122-1948
Country : US
Telephone Number : 317-745-3420
Fax Number : 317-745-8340
Provider Business Practice Location Address
First Line : 1140 INDIANAPOLIS RD
Second Line :
City : GREENCASTLE
State : IN
Zip : 46135-1458
Country : US
Telephone Number : 765-848-1421
Fax Number : 765-301-4351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2022
Last Update Date : 08/31/2022

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Directions to “ LUCAS MARKIEWICZ ” Practice Location

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