Individual
LAWRENCE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
642 E CHESTER PIKE, RIDLEY PARK, PA 19078-1701
(610) 522-9200
Mailing address
84 PETERS LN, BLACKWOOD, NJ 08012-4601
(609) 828-9825
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00220300
NJ
2255A2300X
Athletic Trainer
Primary
RT006389
PA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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