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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKENYA ODOM

Active Sole Proprietor

LAKENYA ODOM is a Dermatology healthcare provider located in DECATUR, Georgia. NPI 1548649387 is currently active in the NPPES registry. Verify at CMS.

Dermatology · DECATUR, GA

Registration Details

NPI Number
1548649387
Provider Type
Individual
Gender
Female
NPI Issued
May 26, 2015 (11.25700115437 yrs)
Last Updated
May 26, 2015
License
CO1099990 (GA)
Sole Proprietor
Yes

Practice Information

Address
18004 ANWAR TRL
DECATUR, GA, 300327414
Browse GA providers · Browse ZIP 30032
Phone
6786684183
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in DECATUR, GA

Name Credential NPI
DAMON VAN MAULDIN MD 1427166933
JOANNE P MCALVANY MD 1902914443
MARCUS R STONECIPHER MD 1801904354
DR. HOLLY L HANSON MD, PHD 1174709711
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.