| Doctor Name: | MS. LORI ANN DIMILLO |
| NPI Number: | 1073577102 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.N.P. |
| License Number: | 381390 |
| Business Practice Address: | 3560 N Buffalo St Orchard Park, NY - 141271934 |
| Business Phone Number: | 7166628510 |
| Business Fax Number: | 7166628574 |
| Mailing Address: | 3560 N Buffalo St, ORCHARD PARK |
| State: | NY |
| Postal Code: | 141271934 |
| Phone Number: | 7166628510 |
| Fax Number: | 7166628574 |
| NPI Enumeration Date: | 04/14/2006 |
| NPI Last Update Date: | 07/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 381390 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |