Individual
DR. LORI A. SPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1717 COLUMBIA RD NW, WASHINGTON, DC 20009-2803
(202) 469-4699
(813) 254-0230
Mailing address
2501 W. KENNEDY BVLD., TAMPA, FL 33609-2501
(813) 844-1385
(813) 254-0230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO210001812
DC
207Q00000X
Family Medicine Physician
OS9996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012659340001
—
PA
05
—
278198100
—
FL
01
—
AD0792
MEDICARE
FL
Enumeration date
05/18/2006
Last updated
09/26/2023
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