# MASON LYKES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962086686
- **Gender:** F
- **Credential:** TATTOO ARTIST

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | 50107436 | NY | Yes |
| 246ZA2600X | Medical Art Specialist/Technologist | 50107436 | NY | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 374700000X | Technician | 50107436 | NY | — |

## Other

- **Enumeration date:** 05/09/2021
- **Last updated:** 05/09/2021
