Olson, Lucila W.

Olson, Lucila W. is an individual health care provider with primary practice located at 36500 S Gratiot Ave Ste. 101, Clinton Township MI 48035-1772. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Olson, Lucila W. can be contacted via phone (586) 493-3732.

Contact Information

Primary practice address
36500 S Gratiot Ave Ste. 101 Clinton Township MI 48035-1772
Phone: (586) 493-3732
Fax: (586) 493-3739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301058057 Michigan

Profile Details

NPI number 1669420949
LBN Legal business name Olson, Lucila W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 19 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 1669420949 NPPES
Michigan MEDICAID 3225102
Michigan Other 350D410030
Michigan MEDICAID 3225096
Michigan MEDICAID 4956934
Michigan Other 1022817
Michigan MEDICAID 4682809

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