MEDICARE: LAKESHA NICOLE 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
1	246RP1900X	Phlebotomy Technician	25R-CPT530	MD

General Provider Information

NPI Number	:	1013876721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKESHA NICOLE JONES

Provider Business Mailing Address
First Line	:	8064 CATHERINE AVE
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1252
Country	:	US
Telephone Number	:	443-623-8508
Fax Number	:

Provider Business Practice Location Address
First Line	:	8064 CATHERINE AVE
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1252
Country	:	US
Telephone Number	:	443-623-8508
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ LAKESHA NICOLE JONES ” Practice Location

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