Provider Demographics
NPI:1922066448
Name:O'CONOR, LORRAINE MACLEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:MACLEAN
Last Name:O'CONOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BELHAVEN
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-2719
Mailing Address - Country:US
Mailing Address - Phone:860-632-8812
Mailing Address - Fax:
Practice Address - Street 1:8 BELHAVEN
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-2719
Practice Address - Country:US
Practice Address - Phone:860-632-8812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0422102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1540240Medicaid
CT260004313Medicaid
DE014426C30Medicaid
DE014426C30Medicaid