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NPI Code Detail

MEDICARE: LAUREN MARIE OLSEN DO

MEDICARE: LAUREN MARIE OLSEN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianOS21308FL

General Provider Information

NPI Number : 1831773779
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN MARIE OLSEN DO
Provider Business Mailing Address
First Line : PO BOX 44008
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32231-4008
Country : US
Telephone Number : 904-633-0460
Fax Number :
Provider Business Practice Location Address
First Line : 6271 SAINT AUGUSTINE RD STE 1
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2555
Country : US
Telephone Number : 904-633-0460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2021
Last Update Date : 05/12/2026

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Directions to “ LAUREN MARIE OLSEN DO” Practice Location

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