Individual
DR. LAWRENCE JAY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
384 NORTHEAST AVE, TALLMADGE, OH 44278-1443
(330) 633-9190
(330) 633-6899
Mailing address
384 NORTHEAST AVE, TALLMADGE, OH 44278-1443
(330) 633-9190
(330) 633-6899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3750
OH
Other
Enumeration date
01/12/2006
Last updated
03/28/2008
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