Provider Demographics
NPI:1548558885
Name:LITTZI, CAROLANN (DO)
Entity Type:Individual
Prefix:DR
First Name:CAROLANN
Middle Name:
Last Name:LITTZI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 HOMESTEAD DR
Mailing Address - Street 2:UNIT 78
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-7219
Mailing Address - Country:US
Mailing Address - Phone:570-310-1358
Mailing Address - Fax:
Practice Address - Street 1:43 S MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:ASHLEY
Practice Address - State:PA
Practice Address - Zip Code:18706-1506
Practice Address - Country:US
Practice Address - Phone:570-822-5145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009285L207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine