Individual
DR. LOREN A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.L.F.A.P.A.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2021003893
MO
2084P0800X
Psychiatry Physician
Primary
21941
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102269
VALUE OPTIONS
IA
01
—
1184613101
WELLMARK BCBS
IA
05
—
1184613101
—
IA
Enumeration date
10/21/2005
Last updated
07/12/2021
Update your record
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