Individual
DR. ARDIS LEE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9667
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9663
(603) 650-0910
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
6595
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000223
—
NH
05
—
1001210
—
VT
Enumeration date
08/16/2006
Last updated
12/08/2011
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