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Contact Information

LISA OLSON, PHYSICIAN ASSISTANT
1510 FREMONT ST
ALGOMA
ALGOMA, WI54201
 Phone: 920-487-3676
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LISA OLSON · (Female)

NPI Number 1336128081
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 01/11/2006
Last updated 01/07/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085.003393
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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