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Individual

DR. LEE H GOLDSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8062 NEW LAGRANGE RD, LOUISVILLE, KY 40222-3849
(505) 339-1200
(502) 339-9493
Mailing address
8062 NEW LAGRANGE ROAD, LOUISVILLE, KY 40222-3849
(505) 339-1200
(502) 339-9493

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
162
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000052142
ANTHEM BC/BS
KY
01
1075808
PASSPORT HEALTH
KY
01
3552089
HEALTHSTAR
KY
01
480027177
RAILROAD MEDICARE
KY
Enumeration date
03/10/2006
Last updated
05/30/2012
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