Individual
LYNN A WANDERER-POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6739 W CACTUS RD, PEORIA, AZ 85381-5311
(202) 455-0013
(623) 889-0814
Mailing address
10521 E SPRING CREEK RD, SUN LAKES, AZ 85248-8824
(505) 350-5766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7762
AZ
Other
Enumeration date
08/30/2006
Last updated
08/08/2022
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