MEDICARE: STEPHEN ALEXANDER LAJOIE D.O.M.

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	171100000X	Acupuncturist	640	NM

General Provider Information

NPI Number	:	1831141266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN ALEXANDER LAJOIE D.O.M.

Provider Business Mailing Address
First Line	:	5 AMANDA CT
Second Line	:
City	:	TIJERAS
State	:	NM
Zip	:	87059-7825
Country	:	US
Telephone Number	:	505-573-0300
Fax Number	:	505-281-3099

Provider Business Practice Location Address
First Line	:	12165 HWY 14 N
Second Line	:	SUITE B-7
City	:	CEDAR CREST
State	:	NM
Zip	:	87008-9537
Country	:	US
Telephone Number	:	505-281-8446
Fax Number	:	505-281-3099

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/08/2007

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Directions to “ STEPHEN ALEXANDER LAJOIE D.O.M.” Practice Location

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