Provider Demographics
NPI:1033639810
Name:ROSS, LINDSAY ANN (NP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:ROSS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12484
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-2484
Mailing Address - Country:US
Mailing Address - Phone:318-448-1041
Mailing Address - Fax:318-448-0895
Practice Address - Street 1:920 MEDICAL PLAZA DR STE 520
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3204
Practice Address - Country:US
Practice Address - Phone:832-562-3974
Practice Address - Fax:832-562-3974
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAAP09413363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily