Provider Demographics
NPI:1306898762
Name:AVINO, LORIANNE ELIZABETH (DO)
Entity type:Individual
Prefix:
First Name:LORIANNE
Middle Name:ELIZABETH
Last Name:AVINO
Suffix:
Gender:F
Credentials:DO
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:400 INTERNATIONAL DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5771
Mailing Address - Country:US
Mailing Address - Phone:716-631-3555
Mailing Address - Fax:716-631-9525
Practice Address - Street 1:3671 SOUTHWESTERN BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1752
Practice Address - Country:US
Practice Address - Phone:716-667-2064
Practice Address - Fax:716-667-2063
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT914752084N0400X
ORDO2011152084N0400X
MO20200321772084N0400X
NH207912084N0400X
NY237910-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology