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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE LYNN BASTIN

Active Sole Proprietor

DOMINIQUE LYNN BASTIN is a Day Training/Habilitation healthcare provider located in LAKE CHARLES, Louisiana. NPI 1396395901 is currently active in the NPPES registry. Verify at CMS.

Day Training/Habilitation · LAKE CHARLES, LA

Registration Details

NPI Number
1396395901
Provider Type
Individual
Gender
Female
NPI Issued
Sep 16, 2019 (6.9347737396731 yrs)
Last Updated
Sep 16, 2019
Sole Proprietor
Yes

Practice Information

Address
1824 8TH ST
LAKE CHARLES, LA, 706016512
Browse LA providers · Browse ZIP 70601
Phone
7198223103
Primary Specialty
Day Training/Habilitation
373H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.