Lakshmi Basu, M.D.
Individual provider Active NPI Addiction Medicine (Family Medicine) Physician · New London, CT
NPI 1043427115 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043427115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- License
- 018867 (CT)
- Practice address
- 931 Bank St.
New London, CT 06320-2702 - Phone
- (860) 447-2233
- Fax
- (860) 447-2669
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018867 | CT | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Dispensary | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 018867 | CT | Yes |
Addresses
Primary practice location
931 Bank St.
New London, CT 06320-2702
Mailing address
931 Bank St.
New London, CT 06320-2702
Phone (860) 447-2233
Other providers in New London, CT
- Andrea J Bartels
- Jennifer Lynne Bartles
- Samaia Barton-Faucher
- Gwendolyn Basilica
- Arun Basu
- Catherine Bates
- Hailie Baton-Kirk
- Jenna Bazzano
- Sahin Becirovic
- Rachel Beckmann
All providers in New London, CT · Addiction Medicine (Family Medicine) Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.