Individual
LARISSA CAITLIN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-1900
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
57.245795
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.142104
OH
Other
Enumeration date
06/18/2018
Last updated
07/19/2024
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