Individual
DR. LARRY LESTER DOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
RT 288 310 2, ELLWOOD CITY, PA 16117
(724) 758-4711
(724) 758-9619
Mailing address
RT 288 310 2, ELLWOOD CITY, PA 16117
(724) 758-4711
(724) 758-9619
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002314L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008440720002
—
PA
01
—
1014562
GATEWAY
PA
01
—
65584
MED PLUS
PA
Enumeration date
03/26/2007
Last updated
07/08/2007
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