LINCOLN R ROTH CNA

PERHAM HOSPITAL DISTRICT

Dr LINCOLN R ROTH CNA is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2003.

Contact

PERHAM HOSPITAL DISTRICT

1000 CONEY ST W
PERHAM
MN
565732102

Tel: 2183471656

LINCOLN R ROTH CNA Information

Npi 1225063936
Pac Id 7810889177
Professional Enrollment Id I20070913000734
Last Name ROTH
First Name LINCOLN
Middle Name R
Suffix
Gender M
Credential CNA
Medical School Name OTHER
Graduation Year 2003
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PERHAM HOSPITAL DISTRICT
Group Practice Pac Id 2264327766
Number Of Group Practice Members 39
Line 1 Street Address 1000 CONEY ST W
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PERHAM
State MN
Zip Code 565732102
Phone Number 2183471656
Hospital Affiliation Ccn 1 241305
Hospital Affiliation Lbn 1 RIVERWOOD HEALTHCARE CENTER
Hospital Affiliation Ccn 2 241373
Hospital Affiliation Lbn 2 PERHAM HEALTH
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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