Individual
MEREDITH LUTZ OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 GRESHAM DR STE 8630B, NORFOLK, VA 23507-1904
(757) 388-6115
(757) 275-9998
Mailing address
600 GRESHAM DR STE 8630, NORFOLK, VA 23507-1904
(757) 388-6115
(757) 275-9998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101258961
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101258961
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101258961
LICENSE
VA
Enumeration date
04/14/2014
Last updated
07/09/2024
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