Individual
LORI DIANE SPISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
102 HANDLEY PARK CT, GOLDSBORO, NC 27534-1768
(919) 734-3344
(919) 735-3025
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2022-00284
NC
207V00000X
Obstetrics & Gynecology Physician
4301077897
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156058
GREAT LAKES HEALTH PLAN
—
01
—
160G360190
BCBSM GROUP PIN
—
01
—
700G410560
BLUE CROSS
MI
Enumeration date
07/14/2006
Last updated
02/04/2025
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