LARA A BASTAJIAN

MINUTECLINIC DIAGNOSTIC OF MASSACHUSETTS, LLC

Dr LARA A BASTAJIAN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.

Contact

MINUTECLINIC DIAGNOSTIC OF MASSACHUSETTS, LLC

344 GREAT RD
ACTON
MA
017204004

Tel: 8663892727

LARA A BASTAJIAN Information

Npi 1922443746
Pac Id 5193033363
Professional Enrollment Id I20151008000248
Last Name BASTAJIAN
First Name LARA
Middle Name A
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MINUTECLINIC DIAGNOSTIC OF MASSACHUSETTS, LLC
Group Practice Pac Id 2264594944
Number Of Group Practice Members 167
Line 1 Street Address 344 GREAT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ACTON
State MA
Zip Code 017204004
Phone Number 8663892727
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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