Larry R Odom is a Lawrenceville, Georgia based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Larry R Odom is RN051268 for Anesthesia Administration in Georgia. his current practice location is 1000 Medical Center Blvd, Lawrenceville. Patients can reach him at 770-277-3056 or can fax him at 855-204-5244. Larry R Odom is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1255369146. Larry R Odom is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Larry R Odom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Male
Practice Address:
1000 Medical Center Blvd, Lawrenceville, Georgia, 30046-0000
Phone:
770-277-3056
Fax:
855-204-5244
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1255369146
NPI Enumeration Date:
29 Jun, 2006
NPI Last Update On:
06 May, 2014
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry R Odom are as mentioned below.
License Number
Specialization
State
Status
RN051268
Anesthesia Administration
Georgia
Primary
R051268
Anesthesia Administration
Georgia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Larry R Odom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000568884A
Medicaid
Georgia
00568884A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 551420, Fort Lauderdale, Florida
Zip:
33355-1420
Phone Number:
800-243-3839
Fax Number:
954-839-2569
Patients can reach Larry R Odom at 1000 Medical Center Blvd, Lawrenceville, Georgia or can call to book an appointment on 770-277-3056.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.