Provider Demographics
NPI:1902082126
Name:LAJOIE, ERIN WATSON (PA-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:WATSON
Last Name:LAJOIE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 BRIGHTON BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-3625
Mailing Address - Country:US
Mailing Address - Phone:303-299-4528
Mailing Address - Fax:303-299-4556
Practice Address - Street 1:3801 BRIGHTON BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-3625
Practice Address - Country:US
Practice Address - Phone:303-299-4528
Practice Address - Fax:303-299-4556
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA21814363AM0700X
LAPA.200172363AS0400X
COPA4188363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGF893ZMedicare PIN