Bastian, Lakisah

Bastian, Lakisah is an individual health care provider with primary practice located at 175 Hector Ave , Gretna LA 70056-2590. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bastian, Lakisah can be contacted via phone (504) 349-6925.

Contact Information

Primary practice address
175 Hector Ave Gretna LA 70056-2590
Phone: (504) 349-6925
Fax: (504) 362-5310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 203411 Louisiana

Profile Details

NPI number 1730354630
LBN Legal business name Bastian, Lakisah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Jan 31st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730354630 NPPES
Louisiana MEDICAID 1002224

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