Lucas B Roth, PA-C
NPI #1083124846 in Peoria, Illinois
Provider Information
- NPI Number
- 1083124846
- Entity Type
- Individual
- Name
- Lucas B Roth, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Oct 6, 2017
- Last Updated
- Jun 19, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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