Individual
LINDSEY ANN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8483 HOLLY RD, GRAND BLANC, MI 48439-1840
(810) 694-7955
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2011
(810) 249-4037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704246129
MI
363LF0000X
Family Nurse Practitioner
Primary
4704246129
MI
Other
Enumeration date
09/27/2012
Last updated
08/20/2015
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