Individual
LAYNIE LYN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1819 CAREW ST, FORT WAYNE, IN 46805-4705
(317) 625-0179
Mailing address
5808 CHAZIMAL ST, PLAINFIELD, IN 46168-8521
(317) 625-0179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003529A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/17/2020
Last updated
12/11/2024
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