Healthcare Provider Details

I. General information

NPI: 1851982961
Provider Name (Legal Business Name): LISA ANNE OROSS X RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 02/01/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6424 FORWARD AVE
PITTSBURGH PA
15217-2521
US

IV. Provider business mailing address

106 SAINT AGNES CT
WEST MIFFLIN PA
15122-2921
US

V. Phone/Fax

Practice location:
  • Phone: 412-521-1100
  • Fax:
Mailing address:
  • Phone: 412-605-7448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: