Individual
LIZABETH ANN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5351 JAYCEE AVE # C, SUITE 1, HARRISBURG, PA 17112-2938
(717) 657-2080
(717) 657-2290
Mailing address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 632-4900
(717) 632-4313
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD420631
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012207630003
—
PA
Enumeration date
09/26/2006
Last updated
08/26/2011
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