Individual
MRS. ODYNE ROSE LACOSSIERE-DORVILUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1053 CENTER STREET, SC HOUSE CALLS INC, WEST COLUMBIA, SC 29169
(800) 491-0909
Mailing address
1053 CENTER STREET, SC HOUSE CALLS INC, WEST COLUMBIA, SC 29169
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
192699
GA
363LF0000X
Family Nurse Practitioner
Primary
24775
SC
363LF0000X
Family Nurse Practitioner
RN192699
GA
Other
Enumeration date
11/06/2020
Last updated
07/01/2022
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