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
Fax: (401) 274-5154
Website:

Health care specialties

SpecialtyCodeLicense #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 18 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 1053365684 NPPES
Rhode Island MEDICAID 7002745

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