National Provider Identifier
Olivia Lauren Potter, D.O.
Olivia Lauren Potter, D.O. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Williamsville, NY and a listed phone number of (716) 636-5437.
Profile Overview
- NPI
- 1548526601
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- April 03, 2012
- Last Updated
- September 06, 2023
Practice Location
- 1800 Maple RD Ste 100
- Williamsville, NY 14221-2749
Phone: (716) 636-5437
Specialties
- Pediatrics Physician (208000000X)
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1548526601
- Entity Type
- Individual
- Last Name
- Potter
- First Name
- Olivia
- Middle Name
- Lauren
- Credential
- D.O.
- Mailing Street Address
- 1800 Maple RD Ste 100
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2749
- Mailing Country
- US
- Mailing Phone
- (716) 636-5437
- Practice Street Address
- 1800 Maple RD Ste 100
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2749
- Practice Country
- US
- Practice Phone
- (716) 636-5437
- Enumeration Date
- April 03, 2012
- Last Updated
- September 06, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 06, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X), Pediatrics Physician (208000000X)
- Other Identifiers
- 014809000 (FL)