person
Lisa M Roth, RNCNNP
Critical Care Neonatal Nurse Practitioner in Saint Louis, Missouri
NPI 1558576561

Lisa M Roth is a Critical Care Neonatal Nurse Practitioner based in Saint Louis, MO and is specialized in Neonatal, Critical Care. Lisa M Roth practices in Saint Louis, MO and has the professional credentials of RNCNNP. The NPI Number for Lisa M Roth is 1558576561 and holds a License No. 066591 (Missouri).

The current practice location address for Lisa M Roth is 1465 S Grand Blvd, Saint Louis, MO and can be reached out via phone at 314-577-5631.

Location: 1465 S Grand Blvd, Saint Louis, MO, 63116-3134
person
Provider Profile Details
NPI Number
1558576561
Provider Name
Lisa M Roth
Credential
RNCNNP
Provider Entity Type
Individual
Gender
Female
Address
1465 S Grand Blvd, Saint Louis, MO, 63116-3134
Phone Number
314-577-5631
Fax Number
Provider Enumeration Date
05/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1465 S Grand Blvd
City
State
Zip
63104-1003
Phone Number
314-577-5631
Fax Number
person
Provider Business Mailing Address Details
Address
1465 S Grand Blvd
City
State
Zip
63104-1003
Phone Number
314-577-5631
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
066591 (Missouri)
Definition
Definition to come...
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