Provider Demographics
NPI:1871107235
Name:MASON, LAURA LYNN (HHA, CPR, AED & FIRS)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:LYNN
Last Name:MASON
Suffix:
Gender:F
Credentials:HHA, CPR, AED & FIRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1788 PICKERING DRIVE
Mailing Address - Street 2:
Mailing Address - City:REYNOLDBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068
Mailing Address - Country:US
Mailing Address - Phone:614-863-1231
Mailing Address - Fax:
Practice Address - Street 1:1788 PICKERING DRIVE
Practice Address - Street 2:
Practice Address - City:REYNOLDBURG
Practice Address - State:OH
Practice Address - Zip Code:43068
Practice Address - Country:US
Practice Address - Phone:614-863-1231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care