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Individual
LUISA BASTIAN
Active
Individual
LUISA BASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
BP10074271
TX
208VP0000X
Pain Medicine Physician
Primary
85342-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2021
Last updated
06/23/2026
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