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Lisa Roth
NPI 1346612272 · on the registry since 2015 · sole proprietor
Practice
- Address
- 22294 Coffelt Rd
Saint Mary, MO 63673 - Phone
- (573) 535-4538
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri