Individual
LAURA KAY LEE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 JACKSON BLVD, RAPID CITY, SD 57702-3474
(605) 341-8000
(605) 341-8003
Mailing address
2650 JACKSON BLVD, RAPID CITY, SD 57702-3474
(605) 341-8000
(605) 341-8003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NOT REQUIRED
SD
251E00000X
Home Health Agency
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Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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