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NPI Code Detail

MEDICARE: DR. LEIF M OLSON D.C.

MEDICARE:  DR. LEIF M OLSON  D.C.
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
1111N00000XChiropractor1438NE

General Provider Information

NPI Number : 1871665968
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEIF M OLSON D.C.
Provider Business Mailing Address
First Line : 4130 PIONEER WOODS DR
Second Line : STE 3
City : LINCOLN
State : NE
Zip : 68506-7552
Country : US
Telephone Number : 402-261-6841
Fax Number : 402-261-6843
Provider Business Practice Location Address
First Line : 4130 PIONEER WOODS DR
Second Line : STE 3
City : LINCOLN
State : NE
Zip : 68506-7552
Country : US
Telephone Number : 402-261-6841
Fax Number : 402-261-6843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 11/09/2016

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Directions to “ DR. LEIF M OLSON D.C.” Practice Location

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