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DR. LAKSHMI BASU M.D.

Addiction Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1043427115

Individual Registrant:
DR. LAKSHMI  BASU M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
931 BANK ST.  NEW LONDON, CT 06320-2702 US
Tel: 860-447-2233  Fax: 860-447-2669

Contact information for business:
931 BANK ST.  NEW LONDON, CT 06320-2702 US
Tel: 860-447-2233  Fax: 860-447-2669

Registration Information:
NPI: 1043427115
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207QA0401XAllopathic & Osteopathic Physicians
Family Medicine
Addiction Medicine
CT018867

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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