Individual
LILY RKL BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
277A DUNCAN ST, SAN FRANCISCO, CA 94131-2019
(151) 071-7734
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
1882
CA
367A00000X
Advanced Practice Midwife
Primary
488
MN
Other
Enumeration date
03/22/2010
Last updated
12/06/2021
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