Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lisa Nicole Odom

Individual provider Pediatrics Physician · NPI 1598007668

Mrs. Lisa Nicole Odom is a Pediatric Medicine in Spokane Valley, Washington. Graduated from University of Colorado School of Medicine, Aurora in 2013, 13 years ago. Works from 2 locations. Licensed in Idaho and Washington.

Years since qualifying
13
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
ID, WA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

16528 E Desmet Ct Ste B1000
Spokane Valley, WA 99216-3522
Phone: (509) 944-8770
Fax: (509) 944-8856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1090 W Park Pl, Coeur D Alene, ID 83814-2785 — (208) 215-2005

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD70024994 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence M-13382 (ID)

Record details

NPI number1598007668
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2013
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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