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Individual

LISA C OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000
Mailing address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
06/30/2006
Last updated
02/07/2008
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