Individual
LAUREL MASON-GERHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1686 EDDINGTON RD APT 1, CLEVELAND HEIGHTS, OH 44118-1438
(567) 868-3895
Mailing address
1686 EDDINGTON RD APT 1, CLEVELAND HEIGHTS, OH 44118-1438
(567) 868-3895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007824RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/17/2021
Last updated
09/16/2022
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