Provider Demographics
NPI:1811998875
Name:STOKAR, LAWRENCE MITCHELL (MD)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:MITCHELL
Last Name:STOKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 LINCOLN WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131
Mailing Address - Country:US
Mailing Address - Phone:412-678-8806
Mailing Address - Fax:412-678-3780
Practice Address - Street 1:1220 LINCOLN WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131
Practice Address - Country:US
Practice Address - Phone:412-678-8806
Practice Address - Fax:412-678-3780
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD027349E207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA474794OtherHIGHMARK BLUE CROSS/BLUE
PA0010757030001Medicaid
PA474794OtherHIGHMARK BLUE CROSS/BLUE
PA0010757030001Medicaid