SearchFlorida111N00000X

Lane Odom

NPI 1528909892 · on the registry since 2026 · sole proprietor

Practice

Address
2351 N Williamson Blvd Apt 7106
Daytona Beach, FL 32117
Phone
(407) 995-6966

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida