Individual
LISA A GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-2011
Mailing address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-2011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD069028L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001759127
—
PA
Enumeration date
03/17/2006
Last updated
03/05/2023
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