Individual
DR. LAWRENCE G. GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 BLUEGRASS AVE, LOUISVILLE, KY 40215-1130
(502) 367-3321
(502) 367-3322
Mailing address
7417 WESBORO RD, LOUISVILLE, KY 40242-4035
(502) 423-0218
(502) 423-0330
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
13489
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000043074
ANTHEMBLUECROSSBLUESHIELD
KY
01
—
1080574
PASSPORT
KY
05
—
64134893
—
KY
Enumeration date
06/10/2005
Last updated
03/14/2008
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