Mr. Lawrence Wayne Bastberg
Mr. Lawrence Wayne Bastberg is a Case Manager/Care Coordinator in Fort Myers, Florida. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
2789 Ortiz AveFort Myers, FL 33905-7806
Phone: (239) 275-3222
Fax: (239) 278-9058
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1336404946 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 10, 2012 |
| Last updated in NPPES | July 10, 2012 |
| Mailing address | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 |
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