Provider Demographics
NPI:1053431403
Name:STOLAR, LAWRENCE E (DC)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:E
Last Name:STOLAR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11411 E. NORTHWEST HWY.
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218
Mailing Address - Country:US
Mailing Address - Phone:214-343-2225
Mailing Address - Fax:214-343-2655
Practice Address - Street 1:11411 E. NORTHWEST HWY.
Practice Address - Street 2:SUITE 107
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218
Practice Address - Country:US
Practice Address - Phone:214-343-2225
Practice Address - Fax:214-343-2655
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor