Individual
LIA R. ODORISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9320 PARK WEST BLVD, KNOXVILLE, TN 37923-4301
(865) 373-7100
Mailing address
9320 PARK WEST BLVD, KNOXVILLE, TN 37923-4301
(865) 373-7100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5468
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q081814
—
TN
Enumeration date
03/28/2023
Last updated
04/12/2023
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