Ross, Laura Joyce-Carlson

Ross, Laura Joyce-Carlson is an individual health care provider with primary practice located at 6500 Excelsior Blvd Park Nicollet Heart And Vascular Center, St Louis Park MN 55426-4702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ross, Laura Joyce-Carlson can be contacted via phone (952) 993-2304.

Contact Information

Primary practice address
6500 Excelsior Blvd Park Nicollet Heart And Vascular Center St Louis Park MN 55426-4702
Phone: (952) 993-2304
Fax: (952) 993-3010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9898 Minnesota

Profile Details

NPI number 1245217181
LBN Legal business name Ross, Laura Joyce-Carlson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 20th, 2012 - 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 1245217181 NPPES
Minnesota MEDICAID 463918900

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