National Provider Identifier
Larry Odom
Larry Odom is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Williamsville, NY and a listed phone number of (716) 400-9339.
Profile Overview
- NPI
- 1205258225
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 09, 2014
- Last Updated
- January 09, 2014
Practice Location
- 238 Teakwood Ter
- Williamsville, NY 14221-4737
Phone: (716) 400-9339
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1205258225
- Entity Type
- Individual
- Last Name
- Odom
- First Name
- Larry
- Name Prefix
- Mr.
- Mailing Street Address
- 238 Teakwood Ter
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4737
- Mailing Country
- US
- Mailing Phone
- (716) 400-9339
- Practice Street Address
- 238 Teakwood Ter
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-4737
- Practice Country
- US
- Practice Phone
- (716) 400-9339
- Enumeration Date
- January 09, 2014
- Last Updated
- January 09, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)