Spisak, Lori Diane

Spisak, Lori Diane is an individual health care provider with primary practice located at 102 Handley Park Ct , Goldsboro NC 27534-1768. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Spisak, Lori Diane can be contacted via phone (919) 734-3344.

Contact Information

Primary practice address
102 Handley Park Ct Goldsboro NC 27534-1768
Phone: (919) 734-3344
Fax: (919) 735-3025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2022-00284 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301077897 Michigan

Profile Details

NPI number 1275559163
LBN Legal business name Spisak, Lori Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Mar 24th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275559163 NPPES
Other 156058 GREAT LAKES HEALTH PLAN
Other 700G410560 GREAT LAKES HEALTH PLAN
Other 160G360190 GREAT LAKES HEALTH PLAN

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