Individual
DR. CLINTON ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2686 NEWBERRY STATION DR, LAKE CHARLES, LA 70611-3984
(337) 485-7600
(337) 485-7700
Mailing address
2686 NEWBERRY STATION DR, LAKE CHARLES, LA 70611-3984
(337) 485-7600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
309749
LA
2084P0800X
Psychiatry Physician
ME161304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063569648
GROUP NPI
—
05
—
119512900
—
FL
05
—
1551228
—
LA
05
—
2470299
—
LA
Enumeration date
06/14/2017
Last updated
04/07/2025
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