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1770684110
LORI ANNE BASTIAN
WEST HAVEN, CT
NPI
1770684110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC 39159)
Enumeration Date
2006-09-26
Last Update Date
2021-10-22
Business Address
Dr. LORI ANNE BASTIAN MD
950 CAMPBELL AVE RM 202
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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Mailing Address
Dr. LORI ANNE BASTIAN MD
950 CAMPBELL AVE BUILDING 35 A ROOM 201
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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