Lynn A. Thibeault-Lajoie

Primary specialty

SpecialistTaxonomy code 174400000X

License

20333 Issued in ME

Practice address

3 Mountainview Drive
Fort Kent, ME 04743-9977

Phone

(207) 834-1573

Fax

(207) 834-4048

NPI assigned

Jun 24, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lynn A. Thibeault Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1972731487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431428",
            "telephone_number": "207-834-1573",
            "fax_number": "207-834-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOUNTAINVIEW DRIVE",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047439977",
            "telephone_number": "207-834-1573",
            "fax_number": "207-834-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBEAULT-LAJOIE",
        "first_name": "LYNN",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "20333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "THIBEAULT",
            "middle_name": "A.",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brent Stoliker, OD
• Tyler James Stoliker, FNP-C
• Andrea Sulavik, ATC
• Christina Rose Theriault, NP
• Nicole Marie Theriault, RN CARE MANAGER
• Emily Catherine Thibeault, RN-BSN
• Timothy D Rioux
• Togus Vamc
• Unified Mental Health Healing PLLC
• Amy Lynne Vaillancourt, PHARMD.

• Specialist in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.