Individual
DR. LAURENCE T O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
53823
MN
208800000X
Urology Physician
82800
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828000
—
SC
Enumeration date
08/03/2005
Last updated
12/01/2022
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