Goodman, Lisa Ann

Goodman, Lisa Ann is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Goodman, Lisa Ann can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Phone: (650) 497-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X G64092 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G64092 California

Profile Details

NPI number 1619079522
LBN Legal business name Goodman, Lisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Apr 16th, 2024 - about last year

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 1619079522 NPPES
California Other 00G640920 BLUE SHIELD
California MEDICAID 00G640920 BLUE SHIELD

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