Roth, Lisa S
Roth, Lisa S is an individual health care provider with primary practice located at 2500 Metrohealth Dr Department Of Orthopaedics, Cleveland OH 44109-1900. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Roth, Lisa S can be contacted via phone (216) 778-2611.Contact Information
Primary practice address
2500 Metrohealth Dr Department Of Orthopaedics
Cleveland OH 44109-1900
Phone: (216) 778-2611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 36002908R | Ohio |
Profile Details
| NPI number | 1053301929 |
|---|---|
| LBN Legal business name | Roth, Lisa S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Sep 21st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053301929 | NPPES |
| Ohio | MEDICAID | 2038959 |
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