Provider Demographics
NPI:1043549991
Name:COOK, LONA JO (DC)
Entity Type:Individual
Prefix:DR
First Name:LONA
Middle Name:JO
Last Name:COOK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 COUNTY HIGHWAY I
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-4419
Mailing Address - Country:US
Mailing Address - Phone:715-720-8500
Mailing Address - Fax:715-720-8507
Practice Address - Street 1:2029 COUNTY HIGHWAY I
Practice Address - Street 2:SUITE 3
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-4419
Practice Address - Country:US
Practice Address - Phone:715-720-8500
Practice Address - Fax:715-720-8507
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4578-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor