Mrs. Lisa Nicole Odom
Pediatrics | Female
Mrs. Lisa Nicole Odom is a Coeur D Alene, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Lisa Nicole Odom is
1090 W Park Pl, Coeur D Alene, Idaho - 83814-2785. She can be contacted on phone at
208-215-2005 and fax number 844-807-3782.
Mrs. Lisa Nicole Odom is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Lisa Nicole Odom is
1598007668 which was assigned by NPPES on 26 Mar, 2013 and it was last updated on 25 Aug, 2021.
Mrs. Lisa Nicole Odom license number is
M-13382 for Pediatrics (208000000X) in Idaho.
Mrs. Lisa Nicole Odom is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Lisa Nicole Odom basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Lisa Nicole Odom |
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| Gender : | Female |
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Business Address:
Mrs. Lisa Nicole Odom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1090 W Park Pl
Coeur D Alene, ID, 83814-2785
United States |
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| Phone Number : | 208-215-2005 |
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| Fax Number : | 844-807-3782 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598007668 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Mar, 2013 |
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| Last Updated On : | 25 Aug, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Lisa Nicole Odom are as mentioned. Primary taxonomy code for Mrs. Lisa Nicole Odom is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M-13382 | ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1387
Hayden, ID, 83835-1387
United States |
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| Phone Number : | 208-415-0299 |
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| Fax Number : | 208-625-2070 |
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Business Location:
Patients can refer following map for directions to
Mrs. Lisa Nicole Odom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.