Provider Demographics
NPI:1053618645
Name:DR DEANA LAJINESS DC LLC
Entity type:Organization
Organization Name:DR DEANA LAJINESS DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAJINESS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-318-5005
Mailing Address - Street 1:2909 WALTON BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-1419
Mailing Address - Country:US
Mailing Address - Phone:248-318-5005
Mailing Address - Fax:248-373-5865
Practice Address - Street 1:2909 WALTON BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-1419
Practice Address - Country:US
Practice Address - Phone:248-318-5005
Practice Address - Fax:248-373-5865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009616111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty