LUCAS B ROTH

PEORIA, IL
NPI1083124846
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085006385)
Enumeration Date2017-10-06
Last Update Date2021-06-16
Business Address
LUCAS B ROTH PA-C
6000 N ALLEN RD
PEORIA, IL 61614-3294
Phone number: 309-691-1400
Mailing Address
LUCAS B ROTH PA-C
6000 N ALLEN RD
PEORIA, IL 61614-3294
Phone number: 309-691-1400
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