NPI 1396395901
Dominique Lynn Bastin
Practice location
- Address
- 1824 8th St, Lake Charles, LA 70601-6512
- Phone
- (719) 822-3103
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1396395901
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Sep 2019
- Record last updated
- 16 Sep 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.