Provider Demographics
NPI:1013475458
Name:LAJEAN MORROW DDS, PA
Entity Type:Organization
Organization Name:LAJEAN MORROW DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAJEAN
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-282-9222
Mailing Address - Street 1:2512 OAKCREST AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-1931
Mailing Address - Country:US
Mailing Address - Phone:828-273-5277
Mailing Address - Fax:
Practice Address - Street 1:2512 OAKCREST AVE STE B
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-1931
Practice Address - Country:US
Practice Address - Phone:336-282-9222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC903N8OtherBCBS
NC5909526Medicaid
8612OtherDELTA