Provider Demographics
NPI:1811414246
Name:ROSS, LINDSAY DAWN (PHARMD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:DAWN
Last Name:ROSS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11998 W MARLOWE AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-1910
Mailing Address - Country:US
Mailing Address - Phone:734-828-7251
Mailing Address - Fax:
Practice Address - Street 1:7496 S SIMMS ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3252
Practice Address - Country:US
Practice Address - Phone:303-904-1022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-25
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0021934183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist