Individual
LISA KAPLAN GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
12450 CLEVELAND RD STE 201, GARNER, NC 27529-8355
(919) 771-0775
Mailing address
2104 KATESBRIDGE LN, RALEIGH, NC 27614-7791
(336) 944-3962
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
222Q0000X
NC
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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