| Doctor Name: | LORRIE ANN OLIG |
| NPI Number: | 1063649572 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SAC |
| License Number: | 15443-131 |
| Business Practice Address: | 430 E Division St Fond Du Lac, WI - 549354560 |
| Business Phone Number: | 9209264200 |
| Business Fax Number: | |
| Mailing Address: | 430 E Division St, FOND DU LAC |
| State: | WI |
| Postal Code: | 549354560 |
| Phone Number: | 9209264200 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2009 |
| NPI Last Update Date: | 06/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 15443-131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |