NPI 1003149402
Lisa M Potzernitz
Practice location
- Address
- 3066 Rangeview # 3, Jackson, WY 83001
- Phone
- (307) 733-4119
- Fax
- (307) 733-4119
Authorised official
- Name
- Lisa Marie Potzernitz
- Title
- Case Manager
- Phone
- (307) 733-4119
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1003149402
- Entity type
- Organization
- NPI issued
- 16 Sep 2009
- Record last updated
- 16 Sep 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.