Individual
LINCOLN R ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-5522
Mailing address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-5522
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R030067
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0585463
—
IA
01
—
415T5RO
MN BLUE CROSS BS
MN
05
—
460224743-48
—
NE
01
—
4995584
BLUE CROSS OF SD
SD
05
—
5754210
—
SD
05
—
5754214
—
SD
05
—
871418500
—
MN
Enumeration date
07/11/2006
Last updated
10/01/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us