Healthcare Provider Details
I. General information
NPI: 1992919328
Provider Name (Legal Business Name): LORI-ANN MARIE SPREITZER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/08/2007
Last Update Date: 11/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
83 W MILLER ST
ORLANDO FL
32806-2028
US
IV. Provider business mailing address
83 W MILLER ST
ORLANDO FL
32806-2028
US
V. Phone/Fax
- Phone: 407-841-5281
- Fax: 407-648-9879
- Phone: 407-841-5281
- Fax: 407-648-9879
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME 97425 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | ME 97425 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | ME 97425 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: