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Organization
LEE H. GOLDSTEIN DPM PSC
Active
Organization
LEE H. GOLDSTEIN DPM PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE HOWARD GOLDSTEIN D.P.M. (OWNER)
(502) 339-1200
Entity
Organization
Contact information
Practice address
8062 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4764
(502) 339-1200
(502) 339-9493
Mailing address
8062 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4764
(502) 339-1200
(502) 339-9493
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
162
KY
213E00000X
Podiatrist
517-B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052143
ANTHEM
KY
Enumeration date
04/06/2006
Last updated
02/25/2008
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