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Organization

LEE H. GOLDSTEIN DPM PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE HOWARD GOLDSTEIN D.P.M. (OWNER)
(502) 339-1200
Entity
Organization

Contact information

Practice address
8062 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4764
(502) 339-1200
(502) 339-9493
Mailing address
8062 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4764
(502) 339-1200
(502) 339-9493

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
162
KY
213E00000X
Podiatrist
517-B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000052143
ANTHEM
KY
Enumeration date
04/06/2006
Last updated
02/25/2008
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