Olson, Lisa L

Olson, Lisa L is an individual health care provider with primary practice located at 2031 Peach St , Wisconsin Rapids WI 54494-5181. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Olson, Lisa L can be contacted via phone (715) 423-0122.

Contact Information

Primary practice address
2031 Peach St Wisconsin Rapids WI 54494-5181
Phone: (715) 423-0122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40912 Wisconsin

Profile Details

NPI number 1831101153
LBN Legal business name Olson, Lisa L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Dec 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831101153 NPPES
Wisconsin MEDICAID 32535100

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