Healthcare Provider Details

I. General information

NPI: 1134396856
Provider Name (Legal Business Name): TRAVIS M. LAJOIE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 MAIN ST FLR 3
BAR HARBOR ME
04609-1648
US

IV. Provider business mailing address

1536 E 1700 S
SALT LAKE CITY UT
84105-2826
US

V. Phone/Fax

Practice location:
  • Phone: 207-288-8604
  • Fax: 207-288-8602
Mailing address:
  • Phone: 207-590-3773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number6851335-1204
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDO2593
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberDO2593
License Number StateME
# 4
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberDO2593
License Number StateME
# 5
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberDO2593
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: