Individual
DR. LAWRENCE E MASON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8121
Mailing address
702 EXECUTIVE PARK, LOUISVILLE, KY 40207-4207
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
40687
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64117567
—
KY
01
—
P00391139
MEDICARE RAILROAD
GA
Enumeration date
06/28/2006
Last updated
07/13/2021
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