Individual
LORRIANE ANN ROTH-MOYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1561 LONG POND RD, SUITE 130, ROCHESTER, NY 14626-4117
(585) 723-7765
(585) 723-7735
Mailing address
1561 LONG POND RD, SUITE 130, ROCHESTER, NY 14626-4117
(585) 723-7765
(585) 723-7735
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
102553
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
102553
NY
Other
Enumeration date
06/28/2006
Last updated
06/24/2008
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