Lawrence Ross

NPI #1700752003 in Upland, California

Provider Information

NPI Number: 1700752003
Entity Type: Individual
Name: Lawrence Ross
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Enumeration Date: Oct 14, 2025
Last Updated: Oct 14, 2025

Practice Location

Address: 1317 W FOOTHILL BLVD STE 130
Address 2: STE 130
City: Upland
State: California
ZIP Code: 91786-3684
Phone: (800) 741-1164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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