Provider Demographics
NPI:1508566852
Name:ROSS, LOIS MARGARET II (APRN-RNP)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:MARGARET II
Last Name:ROSS
Suffix:
Gender:F
Credentials:APRN-RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 N SITTING BULL DR
Mailing Address - Street 2:
Mailing Address - City:DEWEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86327-5435
Mailing Address - Country:US
Mailing Address - Phone:928-277-3416
Mailing Address - Fax:
Practice Address - Street 1:1575 N SITTING BULL DR
Practice Address - Street 2:
Practice Address - City:DEWEY
Practice Address - State:AZ
Practice Address - Zip Code:86327-5435
Practice Address - Country:US
Practice Address - Phone:928-277-3416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRNP-288804207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine