Individual
DR. LYDIA GAIL ROTH-LAUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1660 HIGHWAY 100 S STE 142, ST LOUIS PARK, MN 55416-1562
(952) 544-5719
(952) 544-5719
Mailing address
4006 CEDARWOOD RD, ST LOUIS PARK, MN 55416-3823
(952) 927-4746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2153
MN
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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