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Individual

LISA GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M.

Contact information

Practice address
451 WID SMITH RD, BURNSVILLE, NC 28714-7644
(828) 678-9797
(828) 678-9799
Mailing address
239 GRAVY HILL LN, BURNSVILLE, NC 28714-7471
(828) 678-9797
(828) 678-9799

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
211
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00513
BCBS
NC
01
0081P
BCBS SWINGBED
01
014MX
BCBS LABS
NC
01
07673
BCBS PHYSICIAN
NC
01
235013
MEDICARE PHYSICIAN
NC
01
235013B
MEDICARE PHYSICIAN
NC
01
3400011
MEDICAID
NC
01
34U011
MEDICARE SWINGBED
NC
01
36118
BCBS
NC
05
7000037
NC
01
8907673
MEDICAID
NC
Enumeration date
05/23/2006
Last updated
01/07/2008
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