LISA M ROTH

SAINT LOUIS, MO
NPI1558576561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: MO  066591)
Enumeration Date2007-05-12
Last Update Date2007-07-08
Business Address
-- LISA M ROTH RNC NNP
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-577-5631
Mailing Address
-- LISA M ROTH RNC NNP
3815 HOLLY HILLS BLVD
SAINT LOUIS, MO 63116-3134
Phone number: 314-752-4327
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