Goldberg, Lee Randall

Goldberg, Lee Randall is an individual health care provider with primary practice located at 3955 E Fort Lowell Rd Suite 113, Tucson AZ 85712-1041. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Goldberg, Lee Randall can be contacted via phone (520) 323-7277.

Contact Information

Primary practice address
3955 E Fort Lowell Rd Suite 113 Tucson AZ 85712-1041
Phone: (520) 323-7277
Fax: (520) 881-1968
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 31261 Arizona
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 31261 Arizona
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 31261 Arizona

Profile Details

NPI number 1609895218
LBN Legal business name Goldberg, Lee Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 20th, 2012 - about 13 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 1609895218 NPPES
Arizona Other Z119329 PTAN
Arizona MEDICAID 79077601 PTAN

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