Provider Demographics
NPI:1962583294
Name:JOAN B LAJOIE DBA JL MEDICAL
Entity type:Organization
Organization Name:JOAN B LAJOIE DBA JL MEDICAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:LAJOIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-852-0588
Mailing Address - Street 1:2102 E NORTHVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5661
Mailing Address - Country:US
Mailing Address - Phone:602-852-0588
Mailing Address - Fax:602-852-9150
Practice Address - Street 1:2102 E NORTHVIEW AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5661
Practice Address - Country:US
Practice Address - Phone:602-852-0588
Practice Address - Fax:602-852-9150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies