Provider Demographics
NPI:1861073900
Name:JONES, LYNN LYNNATTE MARIE (PERSONAL CARE)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:LYNNATTE MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:PERSONAL CARE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 S HELENA WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1632
Mailing Address - Country:US
Mailing Address - Phone:303-960-8654
Mailing Address - Fax:
Practice Address - Street 1:2830 S HELENA WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-1632
Practice Address - Country:US
Practice Address - Phone:303-960-8654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health