Provider Demographics
NPI:1932369071
Name:LAJOIE, LIDIE (MD)
Entity type:Individual
Prefix:
First Name:LIDIE
Middle Name:
Last Name:LAJOIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:CIRCLE PINES
Mailing Address - State:MN
Mailing Address - Zip Code:55014-0577
Mailing Address - Country:US
Mailing Address - Phone:612-669-7173
Mailing Address - Fax:651-490-7797
Practice Address - Street 1:4770 BISCAYNE BLVD STE 880
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3235
Practice Address - Country:US
Practice Address - Phone:786-268-8289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD043751208600000X, 2086S0129X
FLME1376472086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery