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Individual
MS. LEE A ROTZ
Active
Individual
MS. LEE A ROTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-A, FAAA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000507
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK
IL
01
—
203
BLUE CROSS
IL
01
—
4117
HAMP PROVIDER #
IL
01
—
7216
PERSONALCARE
IL
Enumeration date
10/31/2007
Last updated
08/06/2013
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