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
Fax: (832) 825-4294
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063592483 NPPES
Texas MEDICAID 133133207
Texas MEDICAID 116978102

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