| Mr Larry Odom, | |
|
238 Teakwood Ter, Williamsville, NY 14221-4737 | |
| (716) 400-9339 | |
| Not Available |
| Full Name | Mr Larry Odom |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 238 Teakwood Ter, Williamsville, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205258225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 301415-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Odom, 238 Teakwood Ter, Williamsville, NY 14221-4737 Ph: (716) 400-9339 | Mr Larry Odom, 238 Teakwood Ter, Williamsville, NY 14221-4737 Ph: (716) 400-9339 |
Ebow Hanson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221 Phone: 716-276-2123 Fax: 716-276-2129 | |
Justin Washington, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221 Phone: 716-276-2123 Fax: 716-276-2129 | |
Nichole Minter, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221 Phone: 716-276-2123 Fax: 716-276-2129 | |
Kasey Turrell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221 Phone: 716-276-2123 Fax: 716-276-2129 | |
Jennifer Stanford, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221 Phone: 716-276-2123 Fax: 716-276-2129 | |
Heather A Sargent, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Wehrle Dr, Williamsville, NY 14221 Phone: 716-276-2123 | |
Alexa Mercado, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Wehrle Dr Ste 1, Williamsville, NY 14221 Phone: 716-276-2123 |