Individual
LAURIE S MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD PA
Contact information
Practice address
253 S US HIGHWAY 1, TEQUESTA, FL 33469-2701
(561) 746-5088
(561) 746-5984
Mailing address
253 S US HIGHWAY 1, TEQUESTA, FL 33469-2701
(561) 746-5088
(561) 746-5984
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621128300
—
FL
Enumeration date
08/11/2006
Last updated
09/29/2008
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