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Individual

LAUREN ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
350 SUN TEMPLE DR, MADISON, AL 35758-5919
(256) 325-2627
Mailing address
79 CREEKWOOD DR, UNION GROVE, AL 35175-7986
(205) 454-9417

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-129694
AL

Other

Enumeration date
11/02/2016
Last updated
11/02/2016
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