Healthcare Provider Details

I. General information

NPI: 1780862102
Provider Name (Legal Business Name): ROSEMARIE LAJARA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1708 COIT RD SUITE 100
PLANO TX
75075-5024
US

IV. Provider business mailing address

5416 EDGEHOLLOW PL
DALLAS TX
75287-7505
US

V. Phone/Fax

Practice location:
  • Phone: 832-237-3500
  • Fax: 832-237-0200
Mailing address:
  • Phone: 214-802-8016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberJ3835
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: