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Individual

MRS. LAILA LOFTY BASTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
765 MARKET STREET, APARTMENT 35A, SAN FRANCISCO, CA 94103-2041
(415) 896-5835
(415) 896-5836
Mailing address
765 MARKET STREET, APARTMENT 35A, SAN FRANCISCO, CA 94103-2041
(415) 896-5835
(415) 896-5836

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11632
OK

Other

Enumeration date
03/18/2016
Last updated
03/18/2016
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