Odom, Lorrie F

Odom, Lorrie F is an individual health care provider with primary practice located at 1601 E 19Th Ave Suite 6600, Denver CO 80218-1292. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Odom, Lorrie F can be contacted via phone (303) 832-2344.

Contact Information

Primary practice address
1601 E 19Th Ave Suite 6600 Denver CO 80218-1292
Fax: (303) 832-3721
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 19123 Colorado

Profile Details

NPI number 1295823185
LBN Legal business name Odom, Lorrie F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 30th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295823185 NPPES
Colorado Other 59931744 MEDICAID GROUP NUMBER
Colorado Other C809609 MEDICAID GROUP NUMBER
Colorado MEDICAID 01191238 MEDICAID GROUP NUMBER
Colorado Other 88150062 MEDICAID GROUP NUMBER

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