Individual
LAUREN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1492 S MILL AVE STE 301, TEMPE, AZ 85281-5676
(602) 956-1250
(602) 956-7466
Mailing address
1010 E MCDOWELL RD STE 206, PHOENIX, AZ 85006-2608
(602) 956-1250
(602) 956-7466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136800
—
AZ
Enumeration date
08/12/2022
Last updated
03/20/2026
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