Individual
MR. LAWRENCE ROSS
Active
Individual
MR. LAWRENCE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
MA
2251X0800X
Orthopedic Physical Therapist
Primary
002762
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18901
CIGNA/ORTHONET ID NUMBER
CT
01
—
2019893
AETNA ID NUMBER
CT
01
—
50RPTINC0CT01
BLUE CROSS BLUE SHIELD NU
CT
01
—
764202
CONNECTICARE ID NUMBER
CT
01
—
ANC1685
OXFORD ID NUMBER
CT
Enumeration date
07/25/2006
Last updated
01/09/2024
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