MEDICARE: MR. LAWRENCE MITCHELL STOKAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	MD027349E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	474794	OTHER	PA	HIGHMARK BLUE CROSS/BLUE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811998875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LAWRENCE MITCHELL STOKAR MD

Provider Business Mailing Address
First Line	:	1220 LINCOLN WAY
Second Line	:	SUITE 101
City	:	WHITE OAK
State	:	PA
Zip	:	15131
Country	:	US
Telephone Number	:	412-678-8806
Fax Number	:	412-678-3780

Provider Business Practice Location Address
First Line	:	1220 LINCOLN WAY
Second Line	:	SUITE 101
City	:	WHITE OAK
State	:	PA
Zip	:	15131
Country	:	US
Telephone Number	:	412-678-8806
Fax Number	:	412-678-3780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	03/18/2008

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