Healthcare Provider Details

I. General information

NPI: 1497370050
Provider Name (Legal Business Name): LAWRENCE JAJOU DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TRINITY HEALTH IHA MEDICAL GROUP ORTHOPEDICS CHELSEA 14650 E OLD US HWY 12 STE 104
CHELSEA MI
48118
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DR. SUITE J2000
ANN ARBOR MI
48105
US

V. Phone/Fax

Practice location:
  • Phone: 734-593-5700
  • Fax: 734-426-9024
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number5151014173
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number5101029355
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: