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General NPI Number Information
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NPI Number | 1538503594
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Entity Type | Individual
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Provider Name | LISA E. GOLDMAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 3849 E BROADWAY BLVD # 260
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City | TUCSON
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State | AZ
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Zip | 85716-5407
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Country | US
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Telephone | 520-235-5259
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Fax | 520-369-3939
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Provider Business Mailing Address
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Address Line | 3849 E BROADWAY BLVD # 260
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City | TUCSON
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State | AZ
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Zip | 85716-5407
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Country | US
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Telephone | 520-235-5259
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Fax | 520-369-3939
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 51897
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License Number State | AZ
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