Ross, Lara L.

Ross, Lara L. is an individual health care provider with primary practice located at 1500 Hwy 19 N , Meridian MS 39307-5335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ross, Lara L. can be contacted via phone (601) 696-3232.

Contact Information

Primary practice address
1500 Hwy 19 N Meridian MS 39307-5335
Phone: (601) 696-3232
Fax: (601) 696-3231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18007 Mississippi

Profile Details

NPI number 1093797623
LBN Legal business name Ross, Lara L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 6th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093797623 NPPES
Other P00113837 RAILROAD MEDICARE
Other 731-04011 RAILROAD MEDICARE
MEDICAID 009946185 RAILROAD MEDICARE
MEDICAID 09124271 RAILROAD MEDICARE

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