Basic Information
Provider Information
NPI: 1861425654
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LA JOIE
FirstName: JULIA
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4420 LINGAN RD NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200072513
CountryCode: US
TelephoneNumber: 3013259789
FaxNumber:  
Practice Location
Address1: 9000 FRANKLIN SQUARE DR
Address2: MEDSTAR FRANKLIN SQUARE MEDICAL CENTER
City: BALTIMORE
State: MD
PostalCode: 212373998
CountryCode: US
TelephoneNumber: 4437777000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/08/2006
LastUpdateDate: 10/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PP0204XMD036280DCY Allopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine

ID Information
IDTypeStateIssuerDescription
14368130105MD MEDICAID


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