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Luisa Bastian

NPI 1942881107 · on the registry since 2021 · sole proprietor

Practice

Address
N14w23800 Stone Ridge Dr Ste 120
Waukesha, WI 53188
Phone
(920) 204-6758
Fax
(888) 720-0495
Clinicians at this address
3

Additional practice sites

  • 7703 Floyd Curl Dr, San Antonio, TX

Registry record

Primary taxonomy
208VP0000X
208VP0000X
Also registered as
390200000X
208100000X
Licence states on file
WI, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin