Provider Demographics
NPI:1871665968
Name:OLSON, LEIF M (DC)
Entity Type:Individual
Prefix:DR
First Name:LEIF
Middle Name:M
Last Name:OLSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4130 PIONEER WOODS DR
Mailing Address - Street 2:STE 3
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7552
Mailing Address - Country:US
Mailing Address - Phone:402-261-6841
Mailing Address - Fax:402-261-6843
Practice Address - Street 1:4130 PIONEER WOODS DR
Practice Address - Street 2:STE 3
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-7552
Practice Address - Country:US
Practice Address - Phone:402-261-6841
Practice Address - Fax:402-261-6843
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE1438111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor