Individual
DR. ELIZABETH ANNE BASQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
518 HILLCREST RD, WEST LAFAYETTE, IN 47906-2348
(765) 463-9430
Mailing address
518 HILLCREST RD, WEST LAFAYETTE, IN 47906-2348
(765) 463-9430
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01037717A
IN
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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