Goldstein, Lisa
Goldstein, Lisa is an individual health care provider with primary practice located at 164 Summit Ave Department Of Pathology, Providence RI 02906-2853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Goldstein, Lisa can be contacted via phone (401) 793-4246.Contact Information
Primary practice address
164 Summit Ave Department Of Pathology
Providence RI 02906-2853
Phone: (401) 793-4246
Fax: (401) 274-5154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | MD6692 | Rhode Island |
Profile Details
| NPI number | 1053365684 |
|---|---|
| LBN Legal business name | Goldstein, Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 13th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053365684 | NPPES |
| Rhode Island | MEDICAID | 7002745 |
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