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General NPI Number Information
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NPI Number | 1295823185
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Entity Type | Individual
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Provider Name | LORRIE F ODOM MD
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 1601 E 19TH AVE SUITE 6600
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City | DENVER
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State | CO
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Zip | 80218-1292
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Country | US
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Telephone | 303-832-2344
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Fax | 303-832-3721
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Provider Business Mailing Address
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Address Line | 720 S COLORADO BLVD SUITE 220A
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City | GLENDALE
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State | CO
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Zip | 80246-1912
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Country | US
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Telephone | 303-584-8231
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Fax | 866-210-0907
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 19123
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License Number State | CO
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