Individual
MS. LORRAINE ANNA COLACION OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25965 NORMANDIE AVE, HARBOR CITY, CA 90710-3416
(310) 517-4417
(310) 517-4103
Mailing address
11671 NORGROVE LN, ROSSMOOR, CA 90720-4025
(562) 596-1004
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11444
CA
Other
Enumeration date
01/12/2007
Last updated
12/08/2021
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