| NPI | 1962480509 |
|---|---|
| Former Name | LAUREN MARY OLAFSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD153935) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2007-0710) |
| 207Q00000X Family Medicine (Licence: NC 200200615) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2018-11-16 |