Individual
MS. LORRAINE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8208 LOUISIANA BLVD NE, SUITE C, ALBUQUERQUE, NM 87113-1757
(505) 858-1222
(505) 858-1224
Mailing address
8208 LOUISIANA BLVD NE, SUITE C, ALBUQUERQUE, NM 87113-1757
(505) 858-1222
(505) 858-1224
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP-00218
NM
363LA2200X
Adult Health Nurse Practitioner
R17008
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28823087
—
NM
Enumeration date
11/30/2005
Last updated
05/20/2016
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