Individual
DR. ELIZABETH E ROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
77 BATES ST, SUITE 201, LEWISTON, ME 04240-7637
(207) 795-8465
(207) 795-8471
Mailing address
77 BATES ST, SUITE 201, LEWISTON, ME 04240-7637
(207) 795-8465
(207) 795-8471
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
017769
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433309399
—
ME
Enumeration date
11/30/2006
Last updated
07/09/2010
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