Carolyn L O'brien, LMP

NPI #1245432384 in Longview, Washington

Provider Information

NPI Number: 1245432384
Entity Type: Individual
Name: Carolyn L O'brien, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Jun 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3318 VIRGINA WAY
City: Longview
State: Washington
ZIP Code: 98632
Phone: (360) 608-3161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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