Healthcare Provider Details

I. General information

NPI: 1053387480
Provider Name (Legal Business Name): FRANCINE LISE LAJOIE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/25/2006
Last Update Date: 04/09/2020
Certification Date: 04/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 DUCHESS AVE
NEWPORT VT
05855-5515
US

IV. Provider business mailing address

PO BOX 564
NEWPORT VT
05855-0564
US

V. Phone/Fax

Practice location:
  • Phone: 802-334-5941
  • Fax:
Mailing address:
  • Phone: 802-334-5941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2480
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: