Provider Demographics
NPI:1669332375
Name:LEJAX HOLDINGS, LLC
Entity type:Organization
Organization Name:LEJAX HOLDINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:NICKOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:760-473-3072
Mailing Address - Street 1:5392 W ROSSLARE DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-6252
Mailing Address - Country:US
Mailing Address - Phone:208-481-4800
Mailing Address - Fax:
Practice Address - Street 1:6023 N EAGLE RD STE 100
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-0919
Practice Address - Country:US
Practice Address - Phone:208-481-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty