Individual
DR. LISA GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 SUMMIT AVE, DEPARTMENT OF PATHOLOGY, PROVIDENCE, RI 02906-2853
(401) 793-4246
(401) 274-5154
Mailing address
164 SUMMIT AVE, DEPARTMENT OF PATHOLOGY, PROVIDENCE, RI 02906-2853
(401) 793-4246
(401) 274-5154
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD6692
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002745
—
RI
Enumeration date
05/19/2006
Last updated
07/13/2007
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