Individual
MS. LANA LOUISE OLSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.S.G
Contact information
Practice address
1136 E STUART ST STE 101, FORT COLLINS, CO 80525-1195
(970) 443-9148
(970) 232-9367
Mailing address
5624 BRIANNA LN, BELLVUE, CO 80512-5850
(970) 482-3951
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
216
WY
133V00000X
Registered Dietitian
Primary
579546
CO
133V00000X
Registered Dietitian
579546
OH
133V00000X
Registered Dietitian
DN000286
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216
LICENSE
WY
01
—
579546
ACADEMY OF NUTRITION & DIETETICS REGISTRATION
—
Enumeration date
03/24/2011
Last updated
03/17/2018
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