Provider Demographics
NPI:1407187321
Name:LAJEVIC, DEJA LYNN (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEJA
Middle Name:LYNN
Last Name:LAJEVIC
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10261 CENTER HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642
Mailing Address - Country:US
Mailing Address - Phone:724-864-6666
Mailing Address - Fax:724-864-8813
Practice Address - Street 1:10261 CENTER HIGHWAY
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642
Practice Address - Country:US
Practice Address - Phone:724-864-6666
Practice Address - Fax:724-864-8813
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-15
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037990122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist