Doctor Name: | MRS. LAURIE JEAN BASINAIT |
NPI Number: | 1326442203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 231353 |
Business Practice Address: | 29 Lewis Ave Great Barrington, MA - 012301713 |
Business Phone Number: | 4135280790 |
Business Fax Number: | |
Mailing Address: | 29 Lewis Ave, GREAT BARRINGTON |
State: | MA |
Postal Code: | 012301713 |
Phone Number: | 4135280790 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2014 |
NPI Last Update Date: | 10/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 231353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |