Provider Demographics
NPI:1346238235
Name:JONES, LORIE C (MD)
Entity Type:Individual
Prefix:MS
First Name:LORIE
Middle Name:C
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 1:9397 CROWN CREST BLVD
Mailing Address - Street 2:#431
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8575
Mailing Address - Country:US
Mailing Address - Phone:720-851-8230
Mailing Address - Fax:720-851-8970
Practice Address - Street 1:9397 CROWN CREST BLVD
Practice Address - Street 2:431
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8575
Practice Address - Country:US
Practice Address - Phone:720-851-8230
Practice Address - Fax:720-851-8970
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33067207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01330679Medicaid
COG06756Medicare UPIN
CO01330679Medicaid