Individual
DR. LORRIE F ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 E 19TH AVE, SUITE 6600, DENVER, CO 80218-1292
(303) 832-2344
(303) 832-3721
Mailing address
720 S COLORADO BLVD, SUITE 220A, GLENDALE, CO 80246-1912
(303) 584-8231
(866) 210-0907
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
19123
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01191238
—
CO
01
—
59931744
MEDICAID GROUP NUMBER
CO
01
—
88150062
MEDICAID PRACTICE GROUP #
CO
01
—
C809609
MEDICARE GROUP NUMBER
CO
Enumeration date
10/10/2006
Last updated
10/30/2008
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