Individual
LAURA S MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13241 RAVENNA RD STE A, CHARDON, OH 44024-9012
(440) 285-9166
(440) 285-1806
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(440) 285-9166
(440) 285-1806
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-072805
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35-072805
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2613907
BCMH
OH
05
—
2613907
—
OH
Enumeration date
09/21/2006
Last updated
12/17/2020
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