Individual
LAUREN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2998 W MONTAGUE AVE STE 117, NORTH CHARLESTON, SC 29418-5931
(843) 501-2031
Mailing address
2998 W MONTAGUE AVE STE 117, NORTH CHARLESTON, SC 29418-5931
(843) 501-2031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2595
SC
Other
Enumeration date
10/21/2016
Last updated
07/21/2022
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