Individual
MRS. LISA NICOLE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16528 E DESMET CT STE B1000, SPOKANE VALLEY, WA 99216-3522
(509) 944-8770
(509) 944-8856
Mailing address
POB 31001-4114, PASADENA, CA 91110-4114
(866) 747-2455
(509) 944-9644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M-13382
ID
208000000X
Pediatrics Physician
Primary
MD70024994
WA
Other
Enumeration date
03/26/2013
Last updated
08/11/2025
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