Provider Demographics
NPI:1073737631
Name:ROSS, LAWRENCE ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ALAN
Last Name:ROSS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4650 W SUNSET BLVD
Mailing Address - Street 2:INFECTIOUS DISEASES, MAIL STOP 51
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6062
Mailing Address - Country:US
Mailing Address - Phone:323-669-2509
Mailing Address - Fax:323-660-2661
Practice Address - Street 1:4650 W SUNSET BLVD
Practice Address - Street 2:INFECTIOUS DISEASES, MAIL STOP 51
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6062
Practice Address - Country:US
Practice Address - Phone:323-669-2509
Practice Address - Fax:323-660-2661
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG289122080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases