Dimillo, Lori Ann

Dimillo, Lori Ann is an individual health care provider with primary practice located at 3560 N Buffalo St , Orchard Park NY 14127-1934. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dimillo, Lori Ann can be contacted via phone (716) 662-8510.

Contact Information

Primary practice address
3560 N Buffalo St Orchard Park NY 14127-1934
Phone: (716) 662-8510
Fax: (716) 662-8574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 381390 New York

Profile Details

NPI number 1073577102
LBN Legal business name Dimillo, Lori Ann
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 25th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073577102 NPPES
New York MEDICAID 01744283

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