Lisa Ann Roth, PA-C

NPI #1124799200 in Allentown, Pennsylvania

Provider Information

NPI Number: 1124799200
Entity Type: Individual
Name: Lisa Ann Roth, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 28, 2021
Last Updated: Sep 28, 2021

Practice Location

Address: 1200 S CEDAR CREST BLVD
City: Allentown
State: Pennsylvania
ZIP Code: 18103-6202
Phone: (610) 402-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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