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Individual

DR. LISA JANE OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON, TACOMA, WA 98493-0003
(253) 279-0200
Mailing address
11302 91ST AVENUE CT SW, LAKEWOOD, WA 98498-3634
(253) 302-4948

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14297R
LA
207Q00000X
Family Medicine Physician
220410
NY
207Q00000X
Family Medicine Physician
5802
AK
207Q00000X
Family Medicine Physician
Primary
MD60428736
WA

Other

Enumeration date
09/20/2006
Last updated
02/07/2019
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