Provider Demographics
NPI:1003855263
Name:FRAAS, LORIANN (MD)
Entity Type:Individual
Prefix:DR
First Name:LORIANN
Middle Name:
Last Name:FRAAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 SHERIDAN DR
Mailing Address - Street 2:STE 200
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1631
Mailing Address - Country:US
Mailing Address - Phone:716-876-5512
Mailing Address - Fax:716-876-7342
Practice Address - Street 1:4041 DELAWARE AVENUE
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150
Practice Address - Country:US
Practice Address - Phone:716-876-5512
Practice Address - Fax:716-876-7342
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188141207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00010057401OtherUNIVERA
160032992OtherRAILROAD BLOCK 24K
156783CKOtherPREFERRED CARE
0708467OtherINDEPENDENT HEALTH
000523032003OtherBCBS CB
0086173OtherGHI
1574OtherUNIVERA PIN
NY01480437Medicaid
188141OtherNYS LICENSE
188141OtherNYS LICENSE
0086173OtherGHI
188141OtherNYS LICENSE
0708467OtherINDEPENDENT HEALTH