Individual
LAUREN WINDSOR GOERING JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
954 RIDGEBROOK RD STE 310, SPARKS, MD 21152-9440
(443) 212-5745
(443) 212-5749
Mailing address
954 RIDGEBROOK RD STE 310, SPARKS, MD 21152-9440
(443) 212-5745
(443) 212-5749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25744
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014L
MEDICARE GROUP
MD
01
—
521907131
COMMERCIAL TAX ID
MD
Enumeration date
11/10/2015
Last updated
05/29/2024
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