Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | OS009285L | PA |
NPI | 1548558885 |
---|---|
Provider Name | Dr. Carolann Littzi |
First Address | Dallas, PA 18612-7219 |
Second Address | Ashley, PA 18706-1506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2011 |
Last Update Date | 20/07/2011 |