Individual
MS. ERNESTINE LEE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
1710 S BROADWAY ST, SUITE A, MARLOW, OK 73055-8692
(580) 658-9100
(580) 658-9104
Mailing address
PO BOX 2309, LAWTON, OK 73502-2309
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95837
OK
Other
Enumeration date
07/08/2005
Last updated
05/24/2016
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