Provider Demographics
NPI:1700227709
Name:JONES, LONNIE III
Entity Type:Individual
Prefix:MR
First Name:LONNIE
Middle Name:
Last Name:JONES
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 PIONEER DR
Mailing Address - Street 2:1204
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4746
Mailing Address - Country:US
Mailing Address - Phone:907-310-6743
Mailing Address - Fax:
Practice Address - Street 1:8050 PIONEER DR
Practice Address - Street 2:1204
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4746
Practice Address - Country:US
Practice Address - Phone:907-310-6743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other