Provider Demographics
NPI:1275771198
Name:JONES, LAUREE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1511
Mailing Address - Country:US
Mailing Address - Phone:205-329-7200
Mailing Address - Fax:205-329-7250
Practice Address - Street 1:1400 4TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1511
Practice Address - Country:US
Practice Address - Phone:205-329-7200
Practice Address - Fax:205-329-7250
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16618208000000X
ALMD.16618207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-28631OtherBCBS
AL148668Medicaid
AL140698Medicaid
AL511-35593OtherBCBS