Individual
LISA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 HANCOCK ST, SAINT PAUL, MN 55106-5336
(651) 793-6663
Mailing address
2060 CENTRE POINTE BLVD, SUITE #3, SAINT PAUL, MN 55120-1269
(651) 774-0011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
179277-3
MN
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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