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1013929736
LORI R. ROTH
DALLAS, TX
NPI
1013929736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA05949)
Enumeration Date
2006-08-12
Last Update Date
2017-02-16
Business Address
-- LORI R. ROTH PA-C
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-645-8000
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Mailing Address
-- LORI R. ROTH PA-C
PO BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-645-8000
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