Provider Demographics
NPI:1649862301
Name:STOLITZA, LUKE (DC)
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:
Last Name:STOLITZA
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 1:1711 SYKES ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5616
Mailing Address - Country:US
Mailing Address - Phone:336-228-6898
Mailing Address - Fax:336-222-8333
Practice Address - Street 1:1711 SYKES ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5616
Practice Address - Country:US
Practice Address - Phone:336-228-6898
Practice Address - Fax:336-222-8333
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5271111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor