Provider Demographics
NPI:1447593728
Name:OLSON, JEAN LORRAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:LORRAINE
Last Name:OLSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6701 ROCKLEDGE DR
Mailing Address - Street 2:SUITE 10018, MSC 7936
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-7936
Mailing Address - Country:US
Mailing Address - Phone:301-435-0397
Mailing Address - Fax:301-480-1667
Practice Address - Street 1:6701 ROCKLEDGE DR
Practice Address - Street 2:SUITE 10018, MSC 7936
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-7936
Practice Address - Country:US
Practice Address - Phone:301-435-0397
Practice Address - Fax:301-480-1667
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG515942083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine