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Individual
LISA GAILE ODOM
Active
Individual
LISA GAILE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
658834
TX
163WE0003X
Emergency Registered Nurse
658834
TX
163WF0300X
Flight Registered Nurse
658834
TX
363LF0000X
Family Nurse Practitioner
Primary
658834
TX
364SE0003X
Emergency Clinical Nurse Specialist
658834
TX
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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