MRS. ODYNE ROSE LACOSSIERE-DORVILUS APRN NPI 1093316820

NPI Information

NPI: 1093316820
Provider Name: MRS. ODYNE ROSE LACOSSIERE-DORVILUS, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1053 CENTER STREET
SC HOUSE CALLS INC
WEST COLUMBIA, SC
ZIP 29169
Phone: (800) 491-0909
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MRS. Odyne Rose Lacossiere-dorvilus, APRN is a family nurse practitioner in West Columbia, SC with 4 years of experience. MRS. Odyne Rose Lacossiere-dorvilus, APRN NPI is 1093316820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1053 CENTER STREET
SC HOUSE CALLS INC
WEST COLUMBIA, SC
ZIP 29169
Phone: (800) 491-0909

The NPI 1093316820 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2020 and was last updated on 7/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	192699	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	24775	SOUTH CAROLINA	Yes
3	363LF0000X	Nurse Practitioner	Family	RN192699	GEORGIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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