Individual
LAURA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3815 HARRISON AVE, ROCKFORD, IL 61108-7631
(815) 391-1000
Mailing address
2485 N FARWELL BRIDGE RD, RIDOTT, IL 61067-9764
(815) 540-5985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.422939
IL
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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