Goldberg, Lawrence G.

Goldberg, Lawrence G. is an individual health care provider with primary practice located at 1800 Bluegrass Ave , Louisville KY 40215-1130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Goldberg, Lawrence G. can be contacted via phone (502) 367-3321.

Contact Information

Primary practice address
1800 Bluegrass Ave Louisville KY 40215-1130
Phone: (502) 367-3321
Fax: (502) 367-3322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 13489 Kentucky

Profile Details

NPI number 1982608543
LBN Legal business name Goldberg, Lawrence G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 14th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982608543 NPPES
Kentucky MEDICAID 64134893
Kentucky Other 1080574
Kentucky Other 000000043074

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