Potocki, Lorraine
Potocki, Lorraine is an individual health care provider with primary practice located at 6701 Fannin St Suite Cc 1560, Houston TX 77030-2316. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Potocki, Lorraine can be contacted via phone (832) 822-4280.Contact Information
Primary practice address
6701 Fannin St Suite Cc 1560
Houston TX 77030-2316
Phone: (832) 822-4280
Fax: (832) 825-4294
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K1623 | Texas |
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | K1623 | Texas |
Profile Details
NPI number | 1063592483 |
---|---|
LBN Legal business name | Potocki, Lorraine |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2006 |
Last updated | Nov 30th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063592483 | NPPES |
Texas | MEDICAID | 133133207 | |
Texas | MEDICAID | 116978102 |
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