Individual
DR. LEANDRE W. ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2313 E MAIN ST, SUITE B, NEW IBERIA, LA 70560-4091
(337) 560-5323
(337) 560-4666
Mailing address
2313 E MAIN ST, SUITE B, NEW IBERIA, LA 70560-4091
(337) 560-5323
(337) 560-4666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025417
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1576271
—
LA
Enumeration date
07/04/2006
Last updated
07/06/2010
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