Provider Demographics
NPI:1023165750
Name:PURINO, M. LORRAINE (MD)
Entity type:Individual
Prefix:
First Name:M.
Middle Name:LORRAINE
Last Name:PURINO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:530 S LAKE AVE
Mailing Address - Street 2:#288
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3515
Mailing Address - Country:US
Mailing Address - Phone:661-505-0242
Mailing Address - Fax:866-780-6352
Practice Address - Street 1:665 W NAOMI AVE
Practice Address - Street 2:STE. 201
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7563
Practice Address - Country:US
Practice Address - Phone:626-445-8481
Practice Address - Fax:626-574-9669
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2020-06-12
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Provider Licenses
StateLicense IDTaxonomies
CAG722562084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology