Provider Demographics
NPI:1144269127
Name:LAJOIE, MARILYN GAIL (MD)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:GAIL
Last Name:LAJOIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5535 SUN HILL DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-9443
Mailing Address - Country:US
Mailing Address - Phone:321-287-5335
Mailing Address - Fax:
Practice Address - Street 1:5535 SUN HILL DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-9443
Practice Address - Country:US
Practice Address - Phone:321-287-5335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2023-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87692207QA0505X, 207R00000X
MT87638208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267062300Medicaid
FL70340WMedicare PIN
FL267062300Medicaid