LUCAS ROTH, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1083124846
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 085006385 (IL) |
| Physician Assistant - Surgical | 363AS0400X | Yes | 085006385 (IL) |
Frequently Asked Questions
NPI 1083124846 is the National Provider Identifier for LUCAS ROTH, PA-C, a Physician Assistant - Surgical provider located in Peoria, IL. This NPI was enumerated on October 6, 2017.
LUCAS ROTH, PA-C practices at 6000 N ALLEN RD, Peoria, IL 61614.
Quick Facts
- NPI
- 1083124846
- Type
- Individual
- Enumerated
- Oct 6, 2017
- Last Updated
- Jun 19, 2025
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