Organization
LYLE T OLSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE T OLSON M.D. (OWNER)
(614) 899-6877
Entity
Organization
Contact information
Practice address
659 PARK MEADOW RD STE J, WESTERVILLE, OH 43081-2879
(614) 899-6877
Mailing address
200 BRADENTON AVE, DUBLIN, OH 43017-7515
(614) 793-1980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69178
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225312
—
OH
Enumeration date
09/21/2006
Last updated
05/06/2010
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