MEDICARE: DR. LAURA ELAINE LAJOS PH.D.

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	103T00000X	Psychologist	963	LA
2	103TC0700X	Clinical Psychologist	PY8143	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174556765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA ELAINE LAJOS PH.D.

Provider Business Mailing Address
First Line	:	2415 UNIVERSITY PKWY STE 219
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-2809
Country	:	US
Telephone Number	:	800-687-1938
Fax Number	:	727-495-7233

Provider Business Practice Location Address
First Line	:	2415 UNIVERSITY PKWY STE 219
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-2809
Country	:	US
Telephone Number	:	800-687-1938
Fax Number	:	727-495-7233

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

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	07/28/2019

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