Individual
LYNN D OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 NATCHEZ TRACE, SUITE 100, BOWLING GREEN, KY 42103-7947
(270) 782-7800
(270) 843-0779
Mailing address
165 NATCHEZ TRACE, SUITE 100, BOWLING GREEN, KY 42103-7947
(270) 782-7800
(270) 843-0779
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21044
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050854
ANTHEM
KY
05
—
64210446
—
KY
Enumeration date
05/23/2005
Last updated
09/08/2008
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