Doctor Name: | DR. LAKSHMI BASU |
NPI Number: | 1043427115 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 018867 |
Business Practice Address: | 931 Bank St. New London, CT - 063202702 |
Business Phone Number: | 8604472233 |
Business Fax Number: | 8604472669 |
Mailing Address: | 931 Bank St., NEW LONDON |
State: | CT |
Postal Code: | 063202702 |
Phone Number: | 8604472233 |
Fax Number: | 8604472669 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | 018867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |