Individual
DR. LYDIA BETH CAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1213 E FRANKLIN AVE, MINNEAPOLIS, MN 55404-2923
(612) 872-8086
Mailing address
1213 E FRANKLIN AVE, MINNEAPOLIS, MN 55404-2923
(612) 872-8086
(612) 872-8547
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27227
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051922
—
MT
05
—
0514158
—
IA
01
—
06G08CA
BCBS
MN
01
—
1017822
PREFERRED ONE
MN
05
—
10387
—
ND
01
—
1053367
ARAZ
MN
01
—
110871
UCARE
MN
01
—
12-07806
MEDICA CHOICE & PRIMARY
MN
05
—
30086800
—
WI
05
—
7777470
—
SD
01
—
HP18239
HEALTHPARTNERS
MN
Enumeration date
06/23/2006
Last updated
07/09/2007
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