Individual
DR. LUCILA W. OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36500 S GRATIOT AVE, STE. 101, CLINTON TOWNSHIP, MI 48035-1772
(586) 493-3732
(586) 493-3739
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301058057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022817
MHP HAN
MI
05
—
3225096
—
MI
05
—
3225102
—
MI
01
—
350D410030
BCBS BCN COMM BLUE
MI
05
—
4682809
—
MI
05
—
4956934
—
MI
Enumeration date
05/05/2006
Last updated
07/08/2007
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