Whalio Doctors

NPI 1003149402

Lisa M Potzernitz

Organisation Case Management Agency Jackson, WY

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
Agencies Taxonomy 251B00000X

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.