Individual
KRISTIE MARIE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5606 SW LEE BLVD, SUITE 303, LAWTON, OK 73505-9688
(580) 531-6455
(580) 531-6493
Mailing address
5606 SW LEE BLVD, SUITE 303, LAWTON, OK 73505-9688
(580) 531-6455
(580) 531-6493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27917
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331310A
—
OK
Enumeration date
06/10/2010
Last updated
10/29/2013
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