MEDICARE: LORNA JONES LAC

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	101Y00000X	Counselor	LAC-23930	AZ

General Provider Information

NPI Number	:	1538015573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORNA JONES LAC

Provider Business Mailing Address
First Line	:	20983 S 190TH WAY
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-0439
Country	:	US
Telephone Number	:	702-538-3521
Fax Number	:

Provider Business Practice Location Address
First Line	:	20983 S 190TH WAY
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-0439
Country	:	US
Telephone Number	:	702-538-3521
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ LORNA JONES LAC” Practice Location

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