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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JODI RANAE ROTHER, HIS

Active

JODI RANAE ROTHER, HIS is a Specialist healthcare provider located in LAKEVILLE, Minnesota. NPI 1902171606 is currently active in the NPPES registry. Verify at CMS.

Specialist · LAKEVILLE, MN

Registration Details

NPI Number
1902171606
Provider Type
Individual
Gender
Female
NPI Issued
Mar 13, 2012 (14.380124640579 yrs)
Last Updated
Mar 13, 2012
License
2480 (MN)

Practice Information

Address
17316 KENYON AVE
SUITE 102
LAKEVILLE, MN, 550446909
Browse MN providers · Browse ZIP 55044
Phone
9522558579
Fax
9522558578
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.