Provider Demographics
NPI:1861848269
Name:LAJOIE, LINDSAY (RD, LDN)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:LAJOIE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 SPRING ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-3841
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:108 INDUSTRIAL WAY
Practice Address - Street 2:A
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-1082
Practice Address - Country:US
Practice Address - Phone:207-878-1288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDI1303133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered