Provider Demographics
NPI:1831141266
Name:LAJOIE, STEPHEN ALEXANDER (DOM)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ALEXANDER
Last Name:LAJOIE
Suffix:
Gender:M
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 AMANDA CT
Mailing Address - Street 2:
Mailing Address - City:TIJERAS
Mailing Address - State:NM
Mailing Address - Zip Code:87059-7825
Mailing Address - Country:US
Mailing Address - Phone:505-573-0300
Mailing Address - Fax:505-281-3099
Practice Address - Street 1:12165 HWY 14 N
Practice Address - Street 2:SUITE B-7
Practice Address - City:CEDAR CREST
Practice Address - State:NM
Practice Address - Zip Code:87008-9537
Practice Address - Country:US
Practice Address - Phone:505-281-8446
Practice Address - Fax:505-281-3099
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM640171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist