Individual
DR. LISA S ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2500 METROHEALTH DR, DEPARTMENT OF ORTHOPAEDICS, CLEVELAND, OH 44109-1900
(216) 778-2611
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-2611
(216) 778-3396
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
36002908R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038959
—
OH
Enumeration date
10/24/2005
Last updated
09/21/2012
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