Organization
LISA M POTZERNITZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE POTZERNITZ (CASE MANAGER)
(307) 733-4119
Entity
Organization
Contact information
Practice address
3066 RANGEVIEW # 3, JACKSON, WY 83001
(307) 733-4119
(307) 733-4119
Mailing address
3066 RANGEVIEW # 3, JACKSON, WY 83001
(307) 733-4119
(307) 733-4119
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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