Provider Demographics
NPI:1215266960
Name:WASHINGTON, LAJOY ANTOINETTE
Entity type:Individual
Prefix:MRS
First Name:LAJOY
Middle Name:ANTOINETTE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9510 N SAM HOUSTON PKWY E
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-2935
Mailing Address - Country:US
Mailing Address - Phone:281-454-5214
Mailing Address - Fax:281-454-7359
Practice Address - Street 1:9510 N SAM HOUSTON PKWY E
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-2935
Practice Address - Country:US
Practice Address - Phone:281-454-5214
Practice Address - Fax:281-454-7359
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32002183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist