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NPI Code Detail

MEDICARE: LONNIE JONES

MEDICARE: LONNIE JONES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorUT
2175T00000XPeer SpecialistUT

General Provider Information

NPI Number : 1083480701
Entity Type Code : Individual
Provider Name (Legal Business Name) : LONNIE JONES
Provider Business Mailing Address
First Line : 380 S 200 W
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2409
Country : US
Telephone Number : 435-282-5393
Fax Number :
Provider Business Practice Location Address
First Line : 934 S MAIN ST
Second Line :
City : LAYTON
State : UT
Zip : 84041-7135
Country : US
Telephone Number : 801-336-1845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2023
Last Update Date : 05/15/2026

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Directions to “ LONNIE JONES ” Practice Location

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