Provider Demographics
NPI:1871714337
Name:GOLDSTEIN, LISA I (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:I
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-0083
Mailing Address - Country:US
Mailing Address - Phone:610-527-8444
Mailing Address - Fax:484-489-1631
Practice Address - Street 1:670 MALIN RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2613
Practice Address - Country:US
Practice Address - Phone:610-527-8444
Practice Address - Fax:484-489-1631
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD052048-L2084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine