Organization
CHARLES GOLDSTEIN PC
Active
Other names
Lakehurst Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBI SHAKLEE (OFFICE MANAGER)
(303) 973-0798
Entity
Organization
Contact information
Practice address
4535 S KIPLING ST, LITTLETON, CO 80127-1139
(303) 973-0798
(303) 973-0314
Mailing address
4535 S KIPLING ST, LITTLETON, CO 80127-1139
(303) 973-0798
(303) 973-0314
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18797
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28856546
—
CO
01
—
75424
LAKEHURST MEDICAL CENTER
CO
Enumeration date
02/16/2007
Last updated
07/13/2010
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