NPI 1124353008

Jaime Lynn Olson

Practitioner Contractor Madison, WI

Practice location

Address: 5600 Medical Cir, Madison, WI 53719-1243
Phone: (608) 213-5967

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 3160-046 (WI)

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Registry record

NPI: 1124353008
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2009
Record last updated: 9 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.