Individual
LUCAS MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10764 THOMAS LOOP, OWYHEE, NV 89832
(208) 991-8559
Mailing address
PO BOX 329, OWYHEE, NV 89832-0329
(208) 991-8447
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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