Potter, Lizabeth Ann

Potter, Lizabeth Ann is an individual health care provider with primary practice located at 5351 Jaycee Ave # C Suite 1, Harrisburg PA 17112-2938. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Potter, Lizabeth Ann can be contacted via phone (717) 657-2080.

Contact Information

Primary practice address
5351 Jaycee Ave # C Suite 1 Harrisburg PA 17112-2938
Phone: (717) 657-2080
Fax: (717) 657-2290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD420631 Pennsylvania

Profile Details

NPI number 1912008285
LBN Legal business name Potter, Lizabeth Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 26th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912008285 NPPES
Pennsylvania MEDICAID 1012207630003

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