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Individual

LACY ELIZABETH MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
3888 LAVISTA RD, TUCKER, GA 30084-5142
(770) 938-5740
Mailing address
480 JOHN WESLEY DOBBS AVE NE UNIT 808, ATLANTA, GA 30312-5332
(407) 687-9970

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013023
GA

Other

Enumeration date
09/03/2019
Last updated
09/03/2019
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