Individual
LARA THOMAS OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6401 FRANCE AVENUE S, EDINA, MN 55435
(952) 924-5000
Mailing address
3452 EDGEWOOD AVENUE S, ST. LOUIS PARK, MN 55426
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1580998
MN
Other
Enumeration date
09/25/2007
Last updated
04/06/2018
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