| Lyle T Olson Md Inc | |
|
659 Park Meadow Rd Ste J Westerville OH 43081-2879 | |
| (614) 899-6877 | |
| Not Available |
| Full Name | Lyle T Olson Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 659 Park Meadow Rd Ste J, Westerville, Ohio |
| Authorized Official Name and Position | Lyle T Olson (OWNER) |
| Authorized Official Contact | 6148996877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyle T Olson Md Inc 200 Bradenton Ave Dublin OH 43017-7515 Ph: (614) 793-1980 | Lyle T Olson Md Inc 659 Park Meadow Rd Ste J Westerville OH 43081-2879 Ph: (614) 899-6877 |
| NPI Number | 1821196783 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 05/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821196783 | NPI | - | NPPES |
| 0225312 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 69178 (Ohio) | Primary |
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