Provider Demographics
NPI:1326281395
Name:LAJEUNESSE, YVONNE DESIREE (RN)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:DESIREE
Last Name:LAJEUNESSE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:YVONNE
Other - Middle Name:DESIREE
Other - Last Name:STEPHENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:93 ROUTE 236
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-6580
Mailing Address - Country:US
Mailing Address - Phone:518-373-5945
Mailing Address - Fax:518-373-5945
Practice Address - Street 1:93 ROUTE 236
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-6580
Practice Address - Country:US
Practice Address - Phone:518-373-5945
Practice Address - Fax:518-373-5945
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY437686-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse