Individual
LANCE BRYANT OLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
1705 KENILWORTH PL, AURORA, IL 60506-5324
(630) 661-0043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.388548
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209028627
IL
Other
Enumeration date
07/18/2023
Last updated
05/12/2025
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