Lawrence Olsen, PH.D

NPI 1972724110 · on the registry since 2007 · sole proprietor

Practice

Address: 2005 E 2700 S Ste 180
Salt Lake City, UT 84109
Phone: (801) 230-6508
Fax: (801) 322-3890
Organisation at this address: Buck Jack Utah, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 103T00000X
103T00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah