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Individual

MRS. LUCY O'CONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M., W.H.N.P, R.N

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
RN2264914
MA
367A00000X
Advanced Practice Midwife
Primary
RN2264914
MA

Other

Enumeration date
05/04/2010
Last updated
01/04/2012
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