Provider Demographics
NPI:1811179377
Name:CAJUSTE-LEGER, DOROTHY M (LPN)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:M
Last Name:CAJUSTE-LEGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574 PURCE ST
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-1743
Mailing Address - Country:US
Mailing Address - Phone:908-688-1168
Mailing Address - Fax:
Practice Address - Street 1:574 PURCE ST
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-1743
Practice Address - Country:US
Practice Address - Phone:908-688-1168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse