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Contact Information

LISA G ODOM, APRN-BC
1353 N TRAVIS ST
LIBERTY, TX77575-3549
 Phone: 936-336-7316
 Fax: 936-336-2280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
 

Emergency

163WE0003X
 

Emergency

364SE0003X 89 Certified Clinical Nurse Specialist
 

Flight

163WF0300X
Indicates primary specialty

NPI Profile & details for LISA G ODOM · (Female)

NPI # 1992988539
Status Active
Credentials APRN-BC
Entity Individual
Enumeration date 12/05/2007
Last updated 12/05/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 658834
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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