Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | G72256 | CA |
NPI | 1023165750 |
---|---|
Provider Name | M. Lorraine Purino |
First Address | Pasadena, CA 91101-3515 |
Second Address | Arcadia, CA 91007-7563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 12/06/2020 |