LORI R ROTH PA

THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

Dr LORI R ROTH PA is a female medical professional, specializing in Physician Assistant. She graduated in 2006.

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THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS

2201 INWOOD RD
DALLAS
TX
752357320

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LORI R ROTH PA Information

Npi 1013929736
Pac Id 1254338296
Professional Enrollment Id I20081106000403
Last Name ROTH
First Name LORI
Middle Name R
Suffix
Gender F
Credential PA
Medical School Name OTHER
Graduation Year 2006
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Group Practice Pac Id 0648188250
Number Of Group Practice Members 1951
Line 1 Street Address 2201 INWOOD RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DALLAS
State TX
Zip Code 752357320
Phone Number
Hospital Affiliation Ccn 1 450044
Hospital Affiliation Lbn 1 UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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