Individual
DR. LAURA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 SKYLINE DRIVE, JACKSON, TN 38301-3923
(731) 541-6174
(616) 361-5828
Mailing address
PO BOX 678210, DALLAS, TX 75267-8210
(616) 363-7339
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125-051180
IL
2085R0202X
Diagnostic Radiology Physician
Primary
4301096158
MI
2085R0202X
Diagnostic Radiology Physician
68351
TN
Other
Enumeration date
08/14/2008
Last updated
08/23/2024
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