Individual
LAUREN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-4688
(859) 301-2607
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-4688
(859) 301-2607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.099194
OH
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
01086319A
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
55791
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066214
—
OH
Enumeration date
05/26/2009
Last updated
12/15/2022
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