Individual
LORI A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000364
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1575258
—
IA
01
—
4994557
BLUE CROSS SD
SD
05
—
5753782
—
SD
Enumeration date
08/03/2006
Last updated
04/10/2008
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