Individual
DR. LORRAINE SHARON ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6178 EDSALL RD, APT. #96, ALEXANDRIA, VA 22304-5881
(571) 970-2406
Mailing address
6178 EDSALL RD, APT. #96, ALEXANDRIA, VA 22304-5809
(571) 970-2406
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
036-079508
IL
2084F0202X
Forensic Psychiatry Physician
24614
NC
2084P0800X
Psychiatry Physician
Primary
036-079508
IL
2084P0800X
Psychiatry Physician
24614
NC
Other
Enumeration date
07/23/2006
Last updated
09/08/2011
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