Provider Demographics
NPI:1639273113
Name:CAIRES, LONA (DO)
Entity Type:Individual
Prefix:DR
First Name:LONA
Middle Name:
Last Name:CAIRES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 SILVER LAKE RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:44194-0002
Mailing Address - Country:US
Mailing Address - Phone:612-706-4500
Mailing Address - Fax:
Practice Address - Street 1:1151 SILVER LAKE RD
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-6324
Practice Address - Country:US
Practice Address - Phone:612-706-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34008854207Q00000X
MN54059207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine