Individual
DR. LORI ANN SPORTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2657 N SALISBURY BLVD STE 104, SALISBURY, MD 21801-2184
(410) 742-6148
(410) 219-3654
Mailing address
814 S ELLWOOD AVE, BALTIMORE, MD 21224-3951
(410) 284-2352
(410) 284-3796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1569
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401431600
—
MD
Enumeration date
11/01/2006
Last updated
08/29/2025
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