Provider Demographics
NPI:1275855041
Name:HOYT, LACAYA MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:LACAYA
Middle Name:MICHELLE
Last Name:HOYT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1354 US ROUTE 202
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:ME
Mailing Address - Zip Code:04364-3821
Mailing Address - Country:US
Mailing Address - Phone:207-377-2151
Mailing Address - Fax:207-377-4077
Practice Address - Street 1:1354 US ROUTE 202
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:ME
Practice Address - Zip Code:04364-3821
Practice Address - Country:US
Practice Address - Phone:207-377-2151
Practice Address - Fax:207-377-4077
Is Sole Proprietor?:No
Enumeration Date:2010-02-22
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1932111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME001517501Medicare PIN