Individual
LANCE RUEBEN GOLDSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 LAKE CLUB DR, COLUMBUS, OH 43232-3204
(614) 704-5224
(614) 515-2693
Mailing address
2211 LAKE CLUB DR, COLUMBUS, OH 43232-3204
(614) 704-5224
(614) 515-2693
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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