Individual
LISA L O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
1231 FIGUEROA ST, WALLA WALLA, WA 99362-2136
(509) 301-8039
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60761720
WA
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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