Individual
DR. LISA CAREN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 UNION AVE, SUITE11A&B, LYNBROOK, NY 11563-3397
(516) 599-6910
(516) 612-3402
Mailing address
10 UNION AVE, SUITE 11A&B, LYNBROOK, NY 11563-3397
(516) 599-6910
(516) 612-3402
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
189734
NY
Other
Enumeration date
06/26/2006
Last updated
04/22/2009
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