Provider Demographics
NPI:1568279172
Name:CAIRNS, GORDON LEI
Entity type:Individual
Prefix:MR
First Name:GORDON
Middle Name:LEI
Last Name:CAIRNS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 TERRE LINDA DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-4520
Mailing Address - Country:US
Mailing Address - Phone:937-572-7068
Mailing Address - Fax:
Practice Address - Street 1:4015 TERRE LINDA DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-4520
Practice Address - Country:US
Practice Address - Phone:937-572-7068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion