Lura Kelly Potter, is a
Behavior Analyst based in Pullman, Washington. Lura Kelly Potter is licensed to practice in Washington (license number CG1324540) and her current practice location is
340 Ne Maple St, Pullman, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 339-7288.
NPI number for Lura Kelly Potter is 1679135164 and her current mailing address is 340 Ne Maple St, Pullman, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679135164.
Healthcare Provider's Profile
Full Name | Lura Kelly Potter |
---|
Gender | Female |
---|
Speciality | Behavior Analyst |
---|
Location | 340 Ne Maple St, Pullman, Washington |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679135164
- Provider Enumeration Date: 07/03/2019
- Last Update Date: 05/02/2023
Medical Identifiers
Medical identifiers for Lura Kelly Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679135164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MC61276123 (Washington) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | CG1324540 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lura Kelly Potter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lura Kelly Potter, 340 Ne Maple St, Pullman, WA 99163-4120 Ph: (509) 334-1133 | Lura Kelly Potter, 340 Ne Maple St, Pullman, WA 99163-4120 Ph: (509) 339-7288 |
Reviews and Comments