Provider Demographics
NPI:1932512209
Name:PIZOR, LAUREN RENEE CHAPMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:RENEE CHAPMAN
Last Name:PIZOR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6510 PLAINVIEW CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-5573
Mailing Address - Country:US
Mailing Address - Phone:806-787-7499
Mailing Address - Fax:
Practice Address - Street 1:1373 AVONDALE HASLET RD
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-3511
Practice Address - Country:US
Practice Address - Phone:817-847-0100
Practice Address - Fax:817-847-0126
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX299471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice