Provider Demographics
NPI:1982408522
Name:LALAJ, JOANA
Entity type:Individual
Prefix:
First Name:JOANA
Middle Name:
Last Name:LALAJ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-5853
Mailing Address - Country:US
Mailing Address - Phone:323-217-6662
Mailing Address - Fax:
Practice Address - Street 1:780 KING ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-9207
Practice Address - Country:US
Practice Address - Phone:323-217-6662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program