Provider Demographics
NPI:1871553677
Name:LORINO, GAETON DON (MD)
Entity type:Individual
Prefix:DR
First Name:GAETON
Middle Name:DON
Last Name:LORINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2412 VILLAGE PROFESSIONAL DR S
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-4742
Mailing Address - Country:US
Mailing Address - Phone:334-528-6670
Mailing Address - Fax:
Practice Address - Street 1:2412 VILLAGE PROFESSIONAL DR S
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-4742
Practice Address - Country:US
Practice Address - Phone:334-528-6670
Practice Address - Fax:334-528-6671
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL7895207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
C73651Medicare UPIN
07915Medicare PIN