Provider Demographics
NPI:1447052089
Name:JONES, LORENZO
Entity type:Individual
Prefix:MR
First Name:LORENZO
Middle Name:
Last Name:JONES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 BAILLIF PL
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-3516
Mailing Address - Country:US
Mailing Address - Phone:612-790-3483
Mailing Address - Fax:
Practice Address - Street 1:3601 BAILLIF PL
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-3516
Practice Address - Country:US
Practice Address - Phone:612-790-3483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251G00000XAgenciesHospice Care, Community Based