Individual
LAKME MARY O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16635 S 17TH ST, PHOENIX, AZ 85048-9430
(480) 209-4331
Mailing address
16635 S 17TH ST, PHOENIX, AZ 85048-9430
(480) 209-4331
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022067568
AZ
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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