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Individual

MS. LISA OCONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDO

Contact information

Practice address
800 WASHINGTON ST # 450, BOSTON, MA 02111-1552
(617) 636-5857
(617) 636-1264
Mailing address
800 WASHINGTON ST # 450, BOSTON, MA 02111-1552
(617) 636-5857
(617) 636-1264

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5828
MA

Other

Enumeration date
01/08/2024
Last updated
01/08/2024
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