Individual
MARISA B O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4004 MALLOW RD, COLORADO SPRINGS, CO 80907-4407
(719) 235-1127
Mailing address
4004 MALLOW RD, COLORADO SPRINGS, CO 80907-4407
(719) 235-1127
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302838
CO
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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