Individual
LISA ANNE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 E 40TH ST, HIBBING, MN 55746-3609
(218) 262-6675
Mailing address
8515 PARKVILLA DR APT 201E, MOUNTAIN IRON, MN 55768-9602
(218) 969-3724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1741614
MN
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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