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Individual

KATHARINE LYNNLY MASKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4033
(504) 842-5078
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4033
(504) 842-5078

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.200560
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012768700
FL
05
06220500
MS
05
2313495
LA
Enumeration date
09/19/2012
Last updated
11/19/2014
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