MEDICARE: JOAN B LAJOIE DBA JL MEDICAL

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1962583294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOAN B LAJOIE DBA JL MEDICAL

Provider Business Mailing Address
First Line	:	2102 E NORTHVIEW AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5661
Country	:	US
Telephone Number	:	602-852-0588
Fax Number	:	602-852-9150

Provider Business Practice Location Address
First Line	:	2102 E NORTHVIEW AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5661
Country	:	US
Telephone Number	:	602-852-0588
Fax Number	:	602-852-9150

Authorized Official
Title or Position	:	OWNER SOLE PROPRIETOR
Name	:	MS. JOAN B LAJOIE
Credential	:
Telephone Number	:	602-852-0588

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	01/06/2014

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