Individual
LAURIE ANN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 14TH ST, GREELEY, CO 80631-3866
(970) 353-0785
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-116-5721
DRIVERS LICENSE NUMBER
CO
Enumeration date
03/18/2019
Last updated
11/27/2023
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