Individual
MS. LORI ANN ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 OLD LAXFIELD RD, SHREWSBURY, MA 01545-5444
(508) 842-6499
Mailing address
405 GROVE ST, WORCESTER, MA 01605-1270
(508) 756-7123
(508) 756-8922
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
139677
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139677
RN LICENSE
MA
01
—
RN26397
RN LICENSE
RI
Enumeration date
02/28/2008
Last updated
02/28/2008
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