MEDICARE: LISA ROSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	P-0191	MS

General Provider Information

NPI Number	:	1144797531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ROSS

Provider Business Mailing Address
First Line	:	202 ENTERPRISE DR
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-2761
Country	:	US
Telephone Number	:	662-371-1711
Fax Number	:	844-512-2577

Provider Business Practice Location Address
First Line	:	202 ENTERPRISE DR
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-2761
Country	:	US
Telephone Number	:	662-371-1711
Fax Number	:	844-512-2577

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	10/24/2018

Similar Medicare Providers

1609393008 — MS. REBEKAH NICOLE JONES BSW
Practice Location Address:

202 ENTERPRISE DR
OXFORD, MS
38655-2761

Practice Phone: 662-371-1711
Practice Fax:

1447413315 — MEAGAN PACZESNY DPT
Practice Location Address:

204 ENTERPRISE DR UNIT 15
OXFORD, MS
38655-2761

Practice Phone: 622-234-0010
Practice Fax:

1952653651 — CORINNA ORANGE LCSW
Practice Location Address:

202 ENTERPRISE DR
OXFORD, MS
38655-2761

Practice Phone: 662-371-1711
Practice Fax:

1659788347 — CAROLYN HILL WALKER DPT
Practice Location Address:

204 ENTERPRISE DR
OXFORD, MS
38655-2761

Practice Phone: 662-234-0010
Practice Fax: 662-234-0017

1447774682 — COURTNEY MARTIN PURVIS DPT, ATC
Practice Location Address:

204 ENTERPRISE DR UNIT 15
OXFORD, MS
38655-2761

Practice Phone: 662-234-0010
Practice Fax: 662-234-0017

1598245565 — CHRISTINE TRAN BELL DPT
Practice Location Address:

204 ENTERPRISE DR UNIT 15
OXFORD, MS
38655-2761

Practice Phone: 662-234-0010
Practice Fax: 662-234-0017

Directions to “ LISA ROSS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.