Individual
MARY LYNN T O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2001 CROCKER RD STE 600, WESTLAKE, OH 44145-6972
(440) 871-5100
(440) 871-5610
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 871-5100
(440) 871-5610
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
00637-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202280
—
OH
Enumeration date
04/19/2006
Last updated
03/17/2011
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