Individual
MRS. LARA BASTAJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 FEDERAL ST, ANDOVER, MA 01810-1038
(888) 454-2771
(833) 428-3730
Mailing address
6 ROBINSON DR, BEDFORD, MA 01730-1337
(617) 930-3992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2270224
MA
Other
Enumeration date
05/07/2013
Last updated
12/26/2024
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