Individual
LISA A GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2955 IVY RD STE 104, CHARLOTTESVILLE, VA 22903-9353
(434) 243-4720
(434) 243-4733
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0024166206
VA
367A00000X
Advanced Practice Midwife
Primary
0024166206
VA
Other
Enumeration date
04/15/2019
Last updated
09/11/2024
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