Goldberg, Lisa

Goldberg, Lisa is an individual health care provider with primary practice located at 4320 Seminary Rd Suite 3000, Alexandria VA 22304-1535. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Goldberg, Lisa can be contacted via phone (703) 504-3069.

Contact Information

Primary practice address
4320 Seminary Rd Suite 3000 Alexandria VA 22304-1535
Phone: (703) 504-3069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0102037134 Virginia

Profile Details

NPI number 1861455149
LBN Legal business name Goldberg, Lisa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 8th, 2007 - 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 1861455149 NPPES
Virginia MEDICAID 6752802

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