Individual
LEAMLAKE LEA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
Mailing address
3333 164TH ST SW, LYNNWOOD, WA 98087-3150
(208) 819-0539
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OLSONLL059BS
WA
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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