Provider Demographics
NPI:1578745709
Name:JONES, LORINE
Entity Type:Individual
Prefix:MRS
First Name:LORINE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 DEPEW RD
Mailing Address - Street 2:
Mailing Address - City:PUTNEY
Mailing Address - State:KY
Mailing Address - Zip Code:40865-6908
Mailing Address - Country:US
Mailing Address - Phone:606-573-2252
Mailing Address - Fax:606-573-2252
Practice Address - Street 1:60 DEPEW RD
Practice Address - Street 2:
Practice Address - City:PUTNEY
Practice Address - State:KY
Practice Address - Zip Code:40865-6908
Practice Address - Country:US
Practice Address - Phone:606-573-2252
Practice Address - Fax:606-573-2252
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist