LILLIE NICOLE ROSS

INDIANAPOLIS, IN
NPI1639882129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10004164A)
Enumeration Date2022-12-30
Last Update Date2023-11-15
Business Address
LILLIE NICOLE ROSS PA-C
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-8906
Mailing Address
LILLIE NICOLE ROSS PA-C
PO BOX 778912
CHICAGO, IL 60677-8912
Phone number: 317-777-6435