Individual
LAUREN ODELIA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2635 UNIVERSITY AVE W STE 160, SAINT PAUL, MN 55114-1271
(952) 967-7960
(651) 293-8293
Mailing address
2635 UNIVERSITY AVE W STE 160, SAINT PAUL, MN 55114-1271
(651) 293-8293
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
06/14/2024
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