Individual
LORI R OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
923 ELIZA ST, GREEN BAY, WI 54301-3234
(920) 965-4800
(920) 965-4801
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
80283-30
WI
363L00000X
Nurse Practitioner
Primary
8709-33
WI
Other
Enumeration date
07/23/2018
Last updated
10/01/2018
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