Individual
MRS. LAURIE JEAN BASINAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 LEWIS AVE, GREAT BARRINGTON, MA 01230-1713
(413) 528-0790
Mailing address
29 LEWIS AVE, GREAT BARRINGTON, MA 01230-1713
(413) 528-0790
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
RN231353
MA
Other
Enumeration date
10/21/2014
Last updated
11/26/2018
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