Odom, Lisa Nicole

Odom, Lisa Nicole is an individual health care provider with primary practice located at 16528 E Desmet Ct Ste B1000 , Spokane Valley WA 99216-3522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Odom, Lisa Nicole can be contacted via phone (509) 944-8770.

Contact Information

Primary practice address
16528 E Desmet Ct Ste B1000 Spokane Valley WA 99216-3522
Phone: (509) 944-8770
Fax: (509) 944-8856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-13382 Idaho
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD70024994 Washington

Profile Details

NPI number 1598007668
LBN Legal business name Odom, Lisa Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2013
Last updated Aug 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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