Individual
DR. LOREN A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.L.F.A.P.A.
Contact information
Practice address
4908 FRANKLIN AVE, DES MOINES, IA 50310-1901
(515) 280-4930
(515) 309-0686
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
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
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