DR. Lars Lyle Roth

NPI #1821107541 in Ely, Minnesota

Provider Information

NPI Number: 1821107541
Entity Type: Individual
Name: DR. Lars Lyle Roth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Enumeration Date: Aug 29, 2006
Last Updated: Aug 23, 2010

Practice Location

Address: 39 E SHERIDAN
City: Ely
State: Minnesota
ZIP Code: 55731
Phone: (218) 365-5770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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