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NPI 1548618614

IndividualActive

Andrea Lanao Roth-Roffy, DO

NPI 1548618614 · Pediatrics Physician · Riverton, UT

Provider details

NPI number: 1548618614
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Female
Sole proprietor: No
License: UO4892 (FL)

Practice location

12391 S 4000 W

Riverton, UT 84096-7012

Phone: (801) 302-1700

More UT providers

Mailing address

2965 W 3500 S

West Valley City, UT 84119-3602

Registry dates

Enumerated: 2016-05-31
Last updated: 2026-01-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrea Lanao Roth-Roffy, DO — NPI 1548618614, Riverton, UT | NPI Central