Individual
MRS. LISA O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 NYE RD, SUITE 200, LYONS, NY 14489-9133
(315) 946-5749
(315) 946-5762
Mailing address
1519 NYE RD, SUITE 200, LYONS, NY 14489-9133
(315) 946-5749
(315) 946-5762
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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