Healthcare Provider Details

I. General information

NPI: 1215984885
Provider Name (Legal Business Name): LAWRENCE P. O'CONNELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 07/12/2024
Certification Date: 07/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HEALTH CENTER AT UNION (WOMEN'S HEALTH CENTER) 225 S. UNION BLVD
COLORADO SPRINGS CO
80910-3127
US

IV. Provider business mailing address

HEALTH CENTER AT UNION (WOMEN'S HEALTH CENTER) 225 S. UNION BLVD
COLORADO SPRINGS CO
80910-3127
US

V. Phone/Fax

Practice location:
  • Phone: 719-632-5700
  • Fax:
Mailing address:
  • Phone: 719-632-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberDR.0038313
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number38313
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: