Provider Demographics
NPI:1346043080
Name:BAJOKA, LANCY
Entity type:Individual
Prefix:
First Name:LANCY
Middle Name:
Last Name:BAJOKA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:LANCY
Other - Middle Name:
Other - Last Name:ABOOSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2367 HAFF DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-4518
Mailing Address - Country:US
Mailing Address - Phone:586-289-8709
Mailing Address - Fax:
Practice Address - Street 1:2367 HAFF DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-4518
Practice Address - Country:US
Practice Address - Phone:586-289-8709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program