Roth-Laube, Lydia Gail

Roth-Laube, Lydia Gail is an sole proprietor health care provider with primary practice located at 1660 Highway 100 S Ste 142 , St Louis Park MN 55416-1562. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roth-Laube, Lydia Gail can be contacted via phone (952) 544-5719.

Contact Information

Primary practice address
1660 Highway 100 S Ste 142 St Louis Park MN 55416-1562
Phone: (952) 544-5719
Fax: (952) 544-5719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP2153 Minnesota

Profile Details

NPI number 1770636771
LBN Legal business name Roth-Laube, Lydia Gail
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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