| Doctor Name: | DR. LISA MARY O'CONNOR |
| NPI Number: | 1821108895 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 25MA05818600 |
| Business Practice Address: | 1390 Valley Rd Suite 1e Stirling, NJ - 079801346 |
| Business Phone Number: | 9086471688 |
| Business Fax Number: | 9086475180 |
| Mailing Address: | 1390 Valley Rd, Suite 1e STIRLING |
| State: | NJ |
| Postal Code: | 079801346 |
| Phone Number: | 9086471688 |
| Fax Number: | 9086475180 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 25MA05818600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |