Provider Demographics
NPI:1285641357
Name:LAJOIE, ROLAND M (MD)
Entity Type:Individual
Prefix:
First Name:ROLAND
Middle Name:M
Last Name:LAJOIE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2815 1ST AVE N
Mailing Address - Street 2:SUITE B
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8641
Mailing Address - Country:US
Mailing Address - Phone:727-328-9661
Mailing Address - Fax:727-328-9772
Practice Address - Street 1:2815 1ST AVENUE NORTH
Practice Address - Street 2:SUITE B
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713
Practice Address - Country:US
Practice Address - Phone:727-328-9661
Practice Address - Fax:727-328-9772
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME43986207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL62491Medicare PIN