Provider Demographics
NPI:1578579397
Name:SWEITZER, LORI MICHELLE (DO)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:MICHELLE
Last Name:SWEITZER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-576-7208
Practice Address - Street 1:2000 MEDICAL PKWY STE 310
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3754
Practice Address - Country:US
Practice Address - Phone:410-266-7755
Practice Address - Fax:410-266-1141
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDH0064951207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I65146Medicare UPIN