LAWRENCE J ROTH

Dr LAWRENCE J ROTH is a male medical professional, specializing in Optometry. He graduated in 1984 from Ohio State University - College Of Optometry.

Contact

384 NORTHEAST AVE
TALLMADGE
OH
442781443

Tel:

LAWRENCE J ROTH Information

Npi 1215916887
Pac Id 6800912650
Professional Enrollment Id I20100929000728
Last Name ROTH
First Name LAWRENCE
Middle Name J
Suffix
Gender M
Credential
Medical School Name OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 1984
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 384 NORTHEAST AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TALLMADGE
State OH
Zip Code 442781443
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
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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