Individual
LAKESIA L ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4488 N SHALLOWFORD RD, STE 210, ATLANTA, GA 30338-6413
(770) 730-0451
(770) 394-2764
Mailing address
6285 BARFIELD RD NE, STE 250, ATLANTA, GA 30328-4335
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN149127
GA
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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