Individual
LISA O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2323 N LAKE DR, 7TH FLOOR, MILWAUKEE, WI 53211-4508
(414) 291-1000
Mailing address
2323 N. LAKE DRIVE, 7TH FLOOR, MILWAUKEE, WI 53208
(414) 291-1248
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3721154
WI
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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