Diana Lynette Roth
NPI #1841736857 in Pittsfield, Illinois
Provider Information
- NPI Number
- 1841736857
- Entity Type
- Individual
- Name
- Diana Lynette Roth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 13, 2017
- Last Updated
- Jan 13, 2017
Practice Location
- Address
- 640 W WASHINGTON ST
- City
- Pittsfield
- State
- Illinois
- ZIP Code
- 62363-1350
- Phone
- (217) 285-2113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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