MEDICARE: BARBARA A LAJOIE RDH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	RDH513	ME

General Provider Information

NPI Number	:	1043461866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA A LAJOIE RDH

Provider Business Mailing Address
First Line	:	42 DALLAS HILL RD
Second Line	:
City	:	RANGELEY
State	:	ME
Zip	:	04970-0569
Country	:	US
Telephone Number	:	207-864-5724
Fax Number	:	207-864-2969

Provider Business Practice Location Address
First Line	:	42 DALLAS HILL RD
Second Line	:
City	:	RANGELEY
State	:	ME
Zip	:	04970-0569
Country	:	US
Telephone Number	:	207-864-5724
Fax Number	:	207-864-2969

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2008
Last Update Date	:	10/10/2008

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Directions to “ BARBARA A LAJOIE RDH” Practice Location

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