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Individual

DR. LAWRENCE P GOLDSTICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ONE ELIZABETH PLACE, SUITE 210 WEST MEDICAL PLAZA, DAYTON, OH 45408
(937) 495-0000
(937) 495-0140
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35051165
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0626648
OH
Enumeration date
09/06/2006
Last updated
08/24/2017
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