Individual
S. LILY O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1751 CALLE MEDICO, SUITE M, SANTA FE, NM 87505
(505) 989-7490
Mailing address
1751 CALLE MEDICO, SUITE M, SANTA FE, NM 87505
(505) 989-7490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3613
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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